NDC codes

FDA NDC Directory
Product NDC (as listed)69339-138Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69339-0138Add 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
69339-138-15693390138156933901381515 mL in 1 CUP, UNIT-DOSE (69339-138-15)Marketed from Apr 25, 2018
69339-138-176933901381769339013817600 mL in 1 DOSE PACK (69339-138-17)Marketed from Apr 25, 2018
69339-138-1969339013819693390138191500 mL in 1 DOSE PACK (69339-138-19)Marketed from Apr 25, 2018

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

Generic name (nonproprietary)
chlorhexidine gluconate 0.12% oral rinse
Active ingredients
Chlorhexidine gluconate — 1.2 mg/mL
Dosage form
Liquid
Route
Oral
Labeler
Natco Pharma USA LLCNDC labeler code 69339
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074291
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 69339-138_2e6b1725-1082-4541-9725-2fb49ae15817SPL ID 2e6b1725-1082-4541-9725-2fb49ae15817SPL set ID 12a11cd7-5087-4eb8-aa52-4fad402450f7RxCUI 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

N469339013815 followed by a unit qualifier and the quantity

Package 69339-0138-15. 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)

INDICATIONS AND USAGE 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 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 69339-138

What is NDC 69339-138?
69339-138 is the product NDC for DASH Chlorhexidine Gluconate 0.12% Oral Rinse, Chlorhexidine gluconate 1.2 mg/mL liquid, listed with the FDA by Natco Pharma USA LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
DASH Chlorhexidine Gluconate 0.12% Oral Rinse (Chlorhexidine Gluconate 0.12% Oral Rinse).
What is the active ingredient?
Chlorhexidine gluconate.
Who is the labeler?
Natco Pharma USA LLC, NDC labeler code 69339. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for DASH Chlorhexidine Gluconate 0.12% Oral Rinse?
2 other product NDCs are listed under this name. See all DASH Chlorhexidine Gluconate 0.12% Oral Rinse NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other DASH Chlorhexidine Gluconate 0.12% Oral Rinse NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DASH Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralCardinal Health 107, LLC55154-198055154-1980-05
DASH Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralCardinal Health 107, LLC55154-198155154-1981-05

Other NDCs under ANDA 074291

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

FDA NDC Directory listings under ANDA 074291
ProductStrengthForm · routeLabelerProduct NDC
Chlorhexidine GluconateChlorhexidine gluconate 1.2 mg/mLRinseOralLyne Laboratories, Inc.0374-5080
DASH Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralCardinal Health 107, LLC55154-1980
DASH Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconate 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLLiquidOralCardinal Health 107, LLC55154-1981

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