Over-the-counter drug · OTC MONOGRAPH DRUG

MIPaste Plus Melon NDC 61596-804

Sodium fluoride .2 g/100g · Paste, Dentifrice · Dental · GC America Inc.

NDC codes

FDA NDC Directory
Product NDC (as listed)61596-804Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61596-0804Add 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
61596-804-106159608041010 BOX, UNIT-DOSE in 1 BOX (61596-804-10) / 1 TUBE in 1 BOX, UNIT-DOSE (61596-804-41) / 40 g in 1 TUBE (61596-804-40)Marketed from Feb 3, 2022

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
MIPaste Plus Melon
Generic name (nonproprietary)
mipaste plus melon
Active ingredients
Sodium fluoride — .2 g/100g
Dosage form
Paste, Dentifrice
Route
Dental
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 61596-804_4651c91f-339d-004a-e063-6394a90a3798SPL ID 4651c91f-339d-004a-e063-6394a90a3798SPL set ID d724fe9f-c9ef-d9ad-e053-2995a90a7ecfRxCUI 1235783UNII 8ZYQ1474W7

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N461596080410 followed by a unit qualifier and the quantity

Package 61596-0804-10. 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 .

Indications (excerpt from the label)

Use • aids in the prevention of dental cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 021

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 021
ProductStrengthForm · routeLabelerProduct NDC
Therabreath Whiteningsodium fluorideSodium fluoride .243 g/100gPaste, DentifriceOralChurch & Dwight Co., Inc.10237-272
evo ADVANCED WHITENING ANTI-CAVITY FLUORIDE PEPPERMINTsodium fluorideSodium fluoride .24 g/100gPaste, DentifriceDentalAshtel Studios, Inc.70108-204
Dentissesodium fluorideSodium fluoride 1.1 mg/gPaste, DentifriceDental, OralDentisse, Inc.70683-0703
ZONSEN Toothpaste,whitetoothpasteSodium fluoride .22 g/100gPaste, DentifriceDentalWuhan Zonsen Medical Products Co., Ltd.72932-016
Brush Buddies Crayola Anticavity Fluoride Strawberrysodium fluorideSodium fluoride .02 g/100mLLiquidOralKingkey MBC Life Technology Group co., LTD73928-042
Crest 3D White Advanced Deep Clean with Stain-Blasting Foamsodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company84126-631
Dr Tichenors With Extra Whitening and Tartar Controlsodium fluorideSodium fluoride 2.43 mg/gPaste, DentifriceOralDr. G. H. Tichenor's Antiseptic Company11291-243
Hello Whipped Mellow Mint Dream Flavorsodium monofluorophosphateSodium monofluorophosphate 1.1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-513
Glowing Whitesodium fluorideSodium fluoride .1 mg/mLMouthwashOralDemoulas Super Markets, Inc53942-435
Crest Premium Plus Breath Bacteria Blaststannous fluorideStannous fluoride 1.4 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-912
Brush Buddies Brbie Anticavity Fluoride Bubblegumsodium fluorideSodium fluoride .05 g/100mLLiquidOralKingkey MBC Life Technology Group co., LTD.73928-039
Crest 3D White Advanced Glamorous White with Stain-Blasting Foamsodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company84126-632
Orajel Kids Supermananticavity toothpasteSodium fluoride 1.5 mg/gGel, DentifriceDentalChurch & Dwight Co., Inc.10237-732
Colgate Total Whitening Charcoalstannous fluorideStannous fluoride 1.1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-571
Crest 3D White Glamorous Whitesodium fluorideSodium fluoride 1.6 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-914
ZONSEN Gel Fluoridegel fluoride toothpasteSodium fluoride .22 g/100gGel, DentifriceDentalWuhan Zonsen Medical Products Co., Ltd.72932-015
Crest 3D White Advanced Luminous Mint Daily Whitening Upkeepsodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company84126-633
Crest Complete Plus Scope Outlast Ultrasodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-918
Brush Buddies Crayola Anticavity Fluoride Watermelonsodium fluorideSodium fluoride .02 g/100mLLiquidOralKingkey MBC Life Technology Group co., LTD73928-041
AutoBrush Mintsodium fluorideSodium fluoride .243 g/100mLLiquidOralLander Enterprises, LLC82913-011

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