NDC codes

FDA NDC Directory
Product NDC (as listed)69842-008Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0008Add 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
69842-008-346984200083469842000834236 mL in 1 BOTTLE, PLASTIC (69842-008-34)Marketed from Feb 3, 2012
69842-008-776984200087769842000877500 mL in 1 BOTTLE, PLASTIC (69842-008-77)Marketed from Feb 3, 2012

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)
Sore Mouth Cleanser
Generic name (nonproprietary)
hydrogen peroxide
Active ingredients
Hydrogen peroxide — 150 mg/10mL
Dosage form
Mouthwash
Route
Topical
Labeler
CVS Pharmacy, Inc.NDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Listing expires
Identifiers
Product ID 69842-008_4c9c1300-0b06-7491-e063-6394a90a8f5bSPL ID 4c9c1300-0b06-7491-e063-6394a90a8f5bSPL set ID a5dbaadf-76a8-4c48-af2d-f4455e9411f0RxCUI 205336UNII BBX060AN9V

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

NDC on a medical claim

N469842000834 followed by a unit qualifier and the quantity

Package 69842-0008-34. 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)

Uses aids in the removal of phlegm, mucus, or other secretions associated with occasional sore mouth for temporary use in cleansing minor wounds or minor gum inflammation resulting from minor dental procedures, dentures, orthodontic appliances, accidental injury, or other irritations of the mouth and gums for temporary use to cleanse canker sores assists in the removal of foreign material from minor oral wounds

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-008

What is NDC 69842-008?
69842-008 is the product NDC for Sore Mouth Cleanser (hydrogen peroxide), Hydrogen peroxide 150 mg/10mL mouthwash, listed with the FDA by CVS Pharmacy, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sore Mouth Cleanser (Hydrogen Peroxide).
What is the active ingredient?
Hydrogen peroxide.
Who is the labeler?
CVS Pharmacy, Inc., NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sore Mouth Cleanser?
3 other product NDCs are listed under this name. See all Sore Mouth Cleanser 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 Sore Mouth Cleanser NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sore Mouth Cleanserhydrogen peroxideHydrogen peroxide 15 mg/mLMouthwashTopicalMeijer, Inc.41250-75041250-0750-77
Sore Mouth Cleanserhydrogen peroxideHydrogen peroxide 15 mg/mLMouthwashTopicalWalgreen Co.0363-008500363-0085-34
Sore Mouth Cleanserhydrogen peroxideHydrogen peroxide 1588 mg/mLMouthwashTopicalRite Aid Corporation11822-146211822-1462-03

Other NDCs under M 022

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

FDA NDC Directory listings under M 022
ProductStrengthForm · routeLabelerProduct NDC
Hydrogen Peroxide 3 Percent ReadyInCasehydrogen peroxideHydrogen peroxide 3 mL/100mLLiquidTopicalP & L Development, LLC49580-0268
SalinenasalSodium chloride 6.5 mg/mLSprayNasalBi-Mart37835-998
CVS Health Sensitive Enamel Repairsodium fluorideSodium fluoride .15 g/100g; Potassium nitrate 5 g/100gPaste, DentifriceOralCVS51316-169
Ricola Max Nasal Care Cool MentholmentholMenthol 15.3 mg/1LozengeOralRicola Ag54305-206
Orajel Medicated for Toothache and Gum, Liquidbenzocaine and mentholBenzocaine 200 mg/mL; Menthol, Unspecified form 1 mg/mLLiquidTopicalChurch & Dwight Co., Inc.10237-796
Throat Balm Caramel PectinpectinPectin 3.8 mg/1LozengeOralRicola Ag54305-301
Throat Balm Caramel PectinpectinPectin 3.8 mg/1LozengeOralRicola USA Inc.63667-301
Hydrogen Peroxide 3 Percenthydrogen peroxideHydrogen peroxide 2.65 mL/100mLLiquidTopicalWhole Foods Market42681-6414
Sore throat cherryphenolPhenol 1.4 g/100mLSprayOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-376
Crest Pro-Health Gum DetoxifyWinter Mintcetylpyridinium chlorideCetylpyridinium chloride .07 g/mLRinseOralThe Procter & Gamble Manufacturing Company84126-648
Crest Kids Advanced Color Changingsodium monofluorophosphateSodium monofluorophosphate 1.6 mg/gPaste, DentifriceDentalProcter & Gamble Manufactura, S de R.L. de C.V.58933-012
Sootheez Berry LemonadepectinPectin 11.5 mg/3.5gLozengeOralBFY LLC72427-4014
Sootheez Organic Wild CherrypectinPectin 11.5 mg/3.5gLozengeOralBFY LLC72427-3714
Quality Choice Oral Pain Reliefbenzocaine 20%, benzalkonium chloride 1%Benzocaine 200 mg/g; Benzalkonium chloride 10 mg/gGelTopicalQuality Choice (CHAIN DRUG MARKETING ASSOCIATION)83324-035
Rite Aid Professional StrengthbenzocaineBenzocaine 20 g/100gLiquidOralRite Aid11822-5340
SENSODYNE Rapid Reliefstannous fluorideStannous fluoride 1.1 mg/gPasteOralHaleon US Holdings LLC0135-0622
Iodent Oral AnalgesicbenzocaineBenzocaine 200 mg/gGelTopicalUnited Exchange Corp.65923-094
Sootheez Organic Wild CherrypectinPectin 11.5 mg/3.5gLozengeOralBFY LLC72427-3714
Topcare Sore Throat Menthol FlavorphenolPhenol 1.4 g/100mLSprayOralTOPCO ASSOCIATES LLC36800-606
Sensodyne Pronamel Gentle Whitening Advancedpotassium nitrate and sodium fluoridePotassium nitrate 50 mg/g; Sodium fluoride 1.15 mg/gPasteDentalHaleon US Holdings LLC0135-0580

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