Tiger Supply Inc APF (sodium fluoride) NDC 69484-052

NDC codes

FDA NDC Directory

Product NDC (as listed)69484-052Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69484-0052Add 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 NDC	11-digit (billing)	Package	Copy
69484-052-15	69484005215	454 g in 1 BOTTLE, PLASTIC (69484-052-15)Marketed from Mar 1, 2013

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): Tiger Supply Inc APF
Generic name (nonproprietary): sodium fluoride
Active ingredients: Sodium fluoride — 5.6 g/454g
Dosage form: Gel
Route: Dental
Labeler: Tiger Supply Inc
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Mar 1, 2013
Listing expires: Dec 31, 2026
Identifiers: Product ID 69484-052_d6089b27-8099-7076-e053-2a95a90a2efdSPL ID d6089b27-8099-7076-e053-2a95a90a2efdSPL set ID 2ba4a209-c56f-4cbe-8727-d428d2090b08RxCUI 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

N469484005215 followed by a unit qualifier and the quantity

Package 69484-0052-15. 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 Jan 20, 2022.

Indications (excerpt from the label)

Indications and Usage: A stable thixotropic fluoride treatment gel used to help prevent dental decay. For Professional Use Only. This product is not intended for home or unsupervised use.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)