What is NDC 0121-1786?

0121-1786 is the product NDC for Chlorhexidine Gluconate, Chlorhexidine gluconate 1.2 mg/mL rinse, listed with the FDA by PAI Holdings, LLC dba PAI Pharma. It has 1 package NDC, shown above in 10- and 11-digit form.

PAI Holdings, LLC dba PAI Pharma, NDC labeler code 0121. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Chlorhexidine Gluconate?

23 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Chlorhexidine Gluconate NDC 0121-1786 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0121-1786Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00121-1786Add 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
0121-1786-16	00121178616	473 mL in 1 BOTTLE (0121-1786-16)Marketed from Aug 25, 2026

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Chlorhexidine Gluconate
Generic name (nonproprietary): chlorhexidine gluconate
Active ingredients: Chlorhexidine gluconate — 1.2 mg/mL
Dosage form: Rinse
Route: Oral
Labeler: PAI Holdings, LLC dba PAI PharmaNDC labeler code 0121
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 074522
Marketing start: Aug 25, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Decreased Cell Wall Integrity (Physiologic effect)
Identifiers: Product ID 0121-1786_10d2b878-8322-4912-88ad-9a46abb245a0SPL ID 10d2b878-8322-4912-88ad-9a46abb245a0SPL set ID d3c2d8a7-bad5-410f-af83-e78a45e4b93fRxCUI 834127UNII MOR84MUD8E

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

N400121178616 followed by a unit qualifier and the quantity

Package 00121-1786-16. 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 Aug 25, 2026.

Indications (excerpt from the label)

INDICATION Chlorhexidine gluconate oral rinse, 0.12% is indicated for use between dental visits as part of a professional program for the treatment of gingivitis as characterized by redness and swelling of the gingivae, including gingival bleeding upon probing. Chlorhexidine gluconate oral rinse, 0.12% has not been tested among patients with acute necrotizing ulcerative gingivitis (ANUG). For patients having coexisting gingivitis and periodontitis, see PRECAUTIONS .

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0121-1786

What is NDC 0121-1786?: 0121-1786 is the product NDC for Chlorhexidine Gluconate, Chlorhexidine gluconate 1.2 mg/mL rinse, listed with the FDA by PAI Holdings, LLC dba PAI Pharma. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Chlorhexidine Gluconate.
What is the active ingredient?: Chlorhexidine gluconate.
Who is the labeler?: PAI Holdings, LLC dba PAI Pharma, NDC labeler code 0121. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Chlorhexidine Gluconate?: 23 other product NDCs are listed under this name. See all Chlorhexidine Gluconate 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 Chlorhexidine Gluconate NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	Xttrium Laboratories, Inc.	0116-1999	00116-1999-16
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	REMEDYREPACK INC.	70518-4494	70518-4494-00
Chlorhexidine Gluconate	Chlorhexidine gluconate 40 mg/mL	SolutionTopical	Rising Pharma Holdings, Inc.	16571-111	16571-0111-1216571-0111-2416571-0111-48+1 more
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseBuccal	VistaPharm, LLC	66689-106	66689-0106-5066689-0106-99
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseDental	Major Pharmaceuticals	0904-7035	00904-7035-8000904-7035-87
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	Lyne Laboratories, Inc.	0374-5080	00374-5080-0100374-5080-02
Chlorhexidine Gluconate	Chlorhexidine gluconate .12 mg/mL	LiquidOral	Xttrium Laboratories, Inc.	0116-0101	00116-0101-0100116-0101-04
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	Preferred Pharmaceuticals, Inc.	68788-9546	68788-9546-04
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	Benco Dental	66975-600	66975-0600-0466975-0600-16
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	Xttrium Laboratories, Inc.	0116-6000	00116-6000-0400116-6000-16

All 24 Chlorhexidine Gluconate NDCs

Other NDCs under ANDA 074522

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

FDA NDC Directory listings under ANDA 074522
Product	Strength	Form · route	Labeler	Product NDC
Chlorhexidine Gluconate	Chlorhexidine gluconate 1.2 mg/mL	RinseOral	PAI Holdings, LLC dba PAI Pharma	0121-0893