NDC codes

FDA NDC Directory
Product NDC (as listed)66467-2250Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66467-2250Add 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
66467-2250-166467225001454 g in 1 BOTTLE, PLASTIC (66467-2250-1)Marketed from Aug 1, 2019

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)
60 Second Fluoride Gel
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — 5.6 g/454g
Dosage form
Gel
Route
Dental
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 66467-2250_d65aceb5-1d36-2b6d-e053-2995a90a7321SPL ID d65aceb5-1d36-2b6d-e053-2995a90a7321SPL set ID 90a59a06-d020-1bab-e053-2995a90a57aaRxCUI 245593UNII 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

N466467225001 followed by a unit qualifier and the quantity

Package 66467-2250-01. 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

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