NDC codes

FDA NDC Directory
Product NDC (as listed)0126-0070Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00126-0070Add 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
0126-0070-6100126007061100 mL in 1 BOTTLE (0126-0070-61)Marketed from Jul 6, 2009

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)
PreviDent 5000 SensitiveSuffix: 5000 Sensitive
Generic name (nonproprietary)
sodium fluoride and potassium nitrate
Active ingredients
Sodium fluoride — 5.8 mg/mLPotassium nitrate — 57.5 mg/mL
Dosage form
Gel, Dentifrice
Route
Dental
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 0126-0070_9d1b6e76-002b-49e4-b483-be15723a03d6SPL ID 9d1b6e76-002b-49e4-b483-be15723a03d6SPL set ID b028cfff-4946-49e8-b8bb-197ab99d0d35RxCUI 637365, 999717UNII 8ZYQ1474W7, RU45X2JN0ZUPC 0301260070612

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

N400126007061 followed by a unit qualifier and the quantity

Package 00126-0070-61. 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)

INDICATIONS AND USAGE A dental caries preventive and sensitive teeth toothpaste; for twice daily self-applied topical use, followed by rinsing. Helps reduce the painful sensitivity of the teeth to cold, heat, acids, sweets or contact in adult patients and children 12 years of age and older. It is well established that 1.1% sodium fluoride is safe and extraordinarily effective as a caries preventive when applied frequently with mouthpiece applicators. 1-4 PreviDent® 5000 Sensitive brand of 1.1% sodium fluoride toothpaste with 5% potassium nitrate in a squeeze bottle is easily applied onto a toothbrush. This prescription toothpaste should be used twice daily in place of your regular toothpaste…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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