NDC codes

FDA NDC Directory
Product NDC (as listed)82711-105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82711-0105Add 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
82711-105-02827110105021 BOTTLE in 1 BOX (82711-105-02) / 20 mg in 1 BOTTLE (82711-105-01)Marketed from Mar 13, 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)
Kids Oral Care Watermelon Flavor
Generic name (nonproprietary)
xylitol, calcium lactate
Active ingredients
Calcium lactate.02 mg/20mgXylitol2 mg/20mg
Dosage form
Spray
Route
Dental
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Phosphate Chelating Activity (Mechanism)
Identifiers
Product ID 82711-105_3086b28e-a5f7-8efc-e063-6394a90ab11aSPL ID 3086b28e-a5f7-8efc-e063-6394a90ab11aSPL set ID 3086af2d-fcc6-25ad-e063-6294a90a74aaUNII 2URQ2N32W3, VCQ006KQ1E
Pharmacologic class
Blood Coagulation Factor; Phosphate Binder

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

N482711010502 followed by a unit qualifier and the quantity

Package 82711-0105-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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