NDC codes

FDA NDC Directory
Product NDC (as listed)63739-052Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63739-0052Add 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
63739-052-576373900525763739005257600 mL in 1 PACKAGE (63739-052-57)Marketed from Feb 15, 2021
63739-052-6963739005269637390052691500 mL in 1 PACKAGE (63739-052-69)Marketed from Feb 15, 2021
63739-052-74637390052746373900527415 mL in 1 CUP, UNIT-DOSE (63739-052-74)Marketed from Feb 15, 2021

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)
Sky Oral Rinse
Generic name (nonproprietary)
chlorhexidine gluconate
Active ingredients
Chlorhexidine gluconate — 1.2 mg/mL
Dosage form
Rinse
Route
Oral
Labeler
McKessonNDC labeler code 63739
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077789
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 63739-052_e99683de-d0a4-373b-e053-2a95a90ac808SPL ID e99683de-d0a4-373b-e053-2a95a90ac808SPL set ID b479c166-899b-0565-e053-2995a90a2094RxCUI 834127UNII MOR84MUD8E

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463739005257 followed by a unit qualifier and the quantity

Package 63739-0052-57. 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)

INDICATION Chlorhexidine gluconate oral rinse is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. Chlorhexidine gluconate oral rinse has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisting gingivitis and periodontitis, see PRECAUTIONS.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63739-052

What is NDC 63739-052?
63739-052 is the product NDC for Sky Oral Rinse (chlorhexidine gluconate), Chlorhexidine gluconate 1.2 mg/mL rinse, listed with the FDA by McKesson. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sky Oral Rinse (Chlorhexidine Gluconate).
What is the active ingredient?
Chlorhexidine gluconate.
Who is the labeler?
McKesson, NDC labeler code 63739. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sky Oral Rinse?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 077789

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

FDA NDC Directory listings under ANDA 077789
ProductStrengthForm · routeLabelerProduct NDC
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralXttrium Laboratories, Inc.0116-4075
Acclean Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralXttrium Laboratories, Inc.0116-6720
Chlorhexidine GluconateChlorhexidine gluconate .12 mg/mLLiquidOralXttrium Laboratories, Inc.0116-0101
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-0175
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-0301
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-1999
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-2001
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralXttrium Laboratories, Inc.0116-6000
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseDentalMajor Pharmaceuticals0904-7035
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralAtlantic Biologicals Corps.17856-2001
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralATLANTIC BIOLOGICALS CORP.17856-2002
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralA-S Medication Solutions50090-0722
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralMedline Industries, LP53329-301
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralDen-mat Holdings, Llc59883-175
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralProficient Rx LP63187-685
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralDarby Dental Supply, LLC66467-2560
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralBenco Dental66975-600
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralNuCare Pharmaceuticals,Inc.68071-1837
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralPreferred Pharmaceuticals, Inc.68788-9546
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralREMEDYREPACK INC.70518-4494

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