NDC codes

FDA NDC Directory
Product NDC (as listed)57511-0503Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57511-0503Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
57511-0503-2575110503022 TUBE in 1 BOX (57511-0503-2) / 96 g in 1 TUBE (57511-0503-1)Marketed from Jun 15, 2022

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
FluoriMax 5000 Sensitive
Generic name (nonproprietary)
1.1% sodium fluoride with 5% potassium nitrate toothpaste
Active ingredients
Sodium fluoride — 1.1 g/100gPotassium nitrate — 5 g/100g
Dosage form
Paste, Dentifrice
Route
Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 57511-0503_3f2bd1e3-4ba2-1bdb-e063-6294a90af9b0SPL ID 3f2bd1e3-4ba2-1bdb-e063-6294a90af9b0SPL set ID d9f232c0-d154-536b-e053-2995a90af37dRxCUI 637365, 2603764UNII 8ZYQ1474W7, RU45X2JN0Z

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N457511050302 followed by a unit qualifier and the quantity

Package 57511-0503-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

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