Equate Glistening Mint (sodium fluoride) NDC 79903-390

NDC codes

FDA NDC Directory

Product NDC (as listed)79903-390Labeler and product segments. Claims need a package NDC.

Product NDC at billing width79903-0390Add 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
79903-390-16	79903039016	473 mL in 1 BOTTLE (79903-390-16)Marketed from Oct 6, 2025

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): Equate Glistening Mint
Generic name (nonproprietary): sodium fluoride
Active ingredients: Sodium fluoride — .005 mg/10mL
Dosage form: Rinse
Route: Oral
Labeler: Walmart Inc.
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 022
Marketing start: Oct 1, 2025
Listing expires: Dec 31, 2026
Identifiers: Product ID 79903-390_4046c894-9f89-1a7c-e063-6294a90afbd0SPL ID 4046c894-9f89-1a7c-e063-6294a90afbd0SPL set ID 39ff21ee-a362-014e-e063-6294a90a0d91UNII 8ZYQ1474W7UPC 0194346528509

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

N479903039016 followed by a unit qualifier and the quantity

Package 79903-0390-16. 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 Oct 3, 2025.

Indications (excerpt from the label)

Use Aids in prevention of dental cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
Product	Strength	Form · route	Labeler	Product NDC
Finafta MultiOralbenzocaine	Benzocaine 7.5 mg/100mL	SprayOral	Efficient Laboratories Inc.	58593-782
DenTek Instant Pain Relief Maximum Strengthbenzocaine	Benzocaine 200 mg/mL	LiquidDental, Topical	DenTek Oral Care, Inc.	60630-078
Astra-dent Topical Anesthetic Gelbenzocaine	Benzocaine 200 mg/g	GelDental	Zag Usa Inc	71363-102
Pearson Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Pearson Dental Supplies INC.	43305-0008
Natural Cherry Honey Herb Throat Dropsmenthol	Menthol 2.1 mg/1	LozengeOral	Ricola USA Inc.	63667-517
Pearson Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Pearson Dental Supplies INC.	43305-0009
HurriCaine Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental, Oral, Periodontal	Beutlich Pharmaceuticals, LLC	0283-0622
Astra-dent Topical Anesthetic Gelbenzocaine	Benzocaine 200 mg/g	GelDental	Zag Usa Inc	71363-100
Toothachepolyhexamethylene biguanide hydrochloride	Polihexanide hydrochloride .25 g/100mL	SprayTopical	Guchutang Biotechnology (Longyan) Co., Ltd	87083-012
Sore Mouth Cleanserhydrogen peroxide	Hydrogen peroxide 15 mg/mL	MouthwashTopical	Meijer, Inc.	41250-750
Pearson Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Pearson Dental Supplies INC.	43305-0010
Cherry Throat Dropsmenthol	Menthol 1.3 mg/1	LozengeOral	Ricola USA Inc.	63667-518
Astra-dent Topical Anesthetic Gelbenzocaine	Benzocaine 200 mg/g	GelDental	Zag Usa Inc	71363-101
EcoDent Ultimate Essential Mouthcare Sparkling Clean Mintsodium bicarbonate	Sodium bicarbonate 25 mg/mL	LiquidOral	Lotus Brands, Inc.	76328-223
Parodontax Active Gum Health Daily Mouthwash Breath Freshenercetylpyridinium chloride	Cetylpyridinium chloride 70 mg/mL	LiquidOral	Haleon US Holdings LLC	0135-0652
Patterson Dental Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Patterson Dental	50227-1014
Natural Lemon Mint Herb Throat Dropsmenthol	Menthol 1.5 mg/1	LozengeOral	Ricola Ag	54305-489
Quality Choice Maximum Strength Oral Pain Relievingbenzocaine	Benzocaine 20 g/100g	GelTopical	Chain Drug Marketing Association Inc	63868-953
Kaylaanzero waste refill for toothpaste	Sodium fluoride .37 mg/440mg	Tablet, ChewableDental	Kaylaan LLC	82091-116
Patterson Dental Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Patterson Dental	50227-1011

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