NDC codes

FDA NDC Directory
Product NDC (as listed)84126-632Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84126-0632Add 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
84126-632-03841260632033 CARTON in 1 CELLO PACK (84126-632-03) / 1 TUBE in 1 CARTON / 93 g in 1 TUBEMarketed from Jan 1, 2026
84126-632-23841260632232 TUBE in 1 CARTON (84126-632-23) / 93 g in 1 TUBEMarketed from Jan 1, 2026
84126-632-33841260632331 TUBE in 1 CARTON (84126-632-33) / 93 g in 1 TUBEMarketed from Jan 1, 2026

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)
Crest 3D White Advanced Glamorous White with Stain-Blasting FoamSuffix: Advanced Glamorous White with Stain-Blasting Foam
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride1.5 mg/g
Dosage form
Paste, Dentifrice
Route
Dental
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 84126-632_4f086e1e-e2f4-0fa5-e063-6294a90a22eeSPL ID 4f086e1e-e2f4-0fa5-e063-6294a90a22eeSPL set ID 4ef5261e-9d2f-ae05-e063-6294a90a489aRxCUI 891775UNII 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

N484126063203 followed by a unit qualifier and the quantity

Package 84126-0632-03. 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)

Use helps protect against cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 021

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

FDA NDC Directory listings under M 021
ProductStrengthForm · routeLabelerProduct NDC
Therabreath Anticavitysodium fluorideSodium fluoride .005 mg/10mLRinseOralChurch & Dwight Co., Inc.10237-260
Crest Pro-Health Gum Detoxify Gentle Whiteningstannous fluorideStannous fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-758
White Glo Instant White Blue Foam Optical Enhancers Fluoride Anticavity Value 2 pack and Toothbrushsodium monofluorophosphateKitWHITE GLO USA INC73656-028
Made by Dentist for Kids Chew Toy (Bubblegum)sodium fluorideSodium fluoride 1.5 mg/gPasteDentalMADE BY DENTISTS INC75065-031
Crest Pro-Health Densify Pro Intensive Repairstannous fluorideStannous fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-755
Gel-Kam Mintstannous fluorideStannous fluoride 1 mg/gGel, DentifriceDentalColgate Oral Pharmaceuticals, Inc.0126-0192
Crest Pro-health Gum Detoxify Deep Cleanstannous fluorideStannous fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-756
White Glo Advantage Anticavity Fluoride Purplesodium monofluorophosphateSodium monofluorophosphate 7.6 mg/gPasteTopicalWHITE GLO USA INC73656-026
freshSTART Anticavity fluoride toothpaste.anticavity fluoride toothpasteSodium fluoride .243 g/100gPaste, DentifriceOralGuangzhou Xinuo Technology Co., Ltd.87373-001
Sensitive Teeth and Gumspotassium nitrate, sodium fluorideSodium fluoride 2.43 mg/g; Potassium nitrate 50 mg/gPaste, DentifriceDentalChurch & Dwight Co., Inc.10237-669
Crest Pro-health Gum Detoxify Deep Cleanstannous fluorideStannous fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-757
White Glo Advantage Anticavity Professional Whiteningsodium monofluorophosphateSodium monofluorophosphate 7.6 mg/gPasteTopicalWHITE GLO USA INC73656-027
Made by Dentists For Kids Eyeball Juice (Watermelon)sodium fluorideSodium fluoride 1.5 mg/gPasteDentalMADE BY DENTISTS INC75065-030
Amerfresh Fluoridesodium fluorideSodium fluoride .1 g/100gPaste, DentifriceTopicalYangzhou ONE & ONLY Personal Care Products Co., LTD85162-002
Anticavity mouth rinse Low-foaming Spearmint779 us variant anticavity mouth rinse low-foaming spearmintSodium fluoride .02 g/100mLGel, DentifriceOralDyson Technology Limited87649-0718
Anticavitysodium fluorideSodium fluoride .2 mg/mLRinseOralTarget Corporation11673-004
Colgate Optic White Renewal Brilliant Shinesodium monofluorophosphateSodium monofluorophosphate 1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-955
First Class Kitsodium monofluorophosphateSodium monofluorophosphate 7.6 mg/gPaste, DentifriceDentalAmerican Airlines, Inc.58701-001
365 Everyday Value Cavity Fighting and Whiteningsodium monoflourophosphateSodium monofluorophosphate .13 g/100gPaste, DentifriceDentalWhole Foods Market, Inc.42681-5002
OralLinesodium fluorideSodium fluoride .15 g/100gGel, DentifriceOralJ.M. Murray Center Inc.55873-002

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