Over-the-counter drug · OTC MONOGRAPH DRUG

Anticavity (Sodium fluoride) NDC 11673-004

Sodium fluoride .2 mg/mL · Rinse · Oral · Target Corporation

NDC codes

FDA NDC Directory
Product NDC (as listed)11673-004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11673-0004Add 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
11673-004-7711673000477500 mL in 1 BOTTLE, PLASTIC (11673-004-77)Marketed from Aug 26, 2011

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)
Anticavity
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — .2 mg/mL
Dosage form
Rinse
Route
Oral
Labeler
Target CorporationNDC labeler code 11673
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 11673-004_4b1dd4df-4c3d-c4fb-e063-6294a90a25e0SPL ID 4b1dd4df-4c3d-c4fb-e063-6294a90a25e0SPL set ID abfc1973-60ab-44e5-8147-33739d8bd7a3RxCUI 240698UNII 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 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

N411673000477 followed by a unit qualifier and the quantity

Package 11673-0004-77. 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 aids in the prevention of dental cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11673-004

What is NDC 11673-004?
11673-004 is the product NDC for Anticavity (sodium fluoride), Sodium fluoride .2 mg/mL rinse, listed with the FDA by Target Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Anticavity (Sodium fluoride).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Target Corporation, NDC labeler code 11673. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Anticavity?
34 other product NDCs are listed under this name. See all Anticavity 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 Anticavity NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Anticavitysodium fluorideSodium fluoride .1 mg/mLRinseOralThe Kroger Co.59450-97159450-0971-86
Anticavitysodium fluorideSodium fluoride .2 mg/mLRinseOralRetail Business Services, LLC72476-97172476-0971-86
Anticavitysodium fluorideSodium fluoride .2 mg/mLRinseOralRite Aid Corporation11822-971811822-9718-06
Anticavitysodium fluorideSodium fluoride .1 mg/mLRinseOralDemoulas Super Markets, Inc53942-97153942-0971-86
Anticavitysodium fluorideSodium fluoride .1 mg/mLRinseOralUnited Natural Foods, Inc. dba UNFI41163-97141163-0971-86
Anticavitysodium fluorideSodium fluoride .1 mg/mLRinseOralOld East Main Co.55910-97155910-0971-86
Anticavitysodium fluorideSodium fluoride .1 mg/mLRinseOralCVS Pharmacy, Inc.69842-54869842-0548-86
Anticavitysodium fluorideSodium fluoride .1 mg/mLRinseOralH E B37808-11937808-0119-86
Anticavitysodium fluorideSodium fluoride .2 mg/mLRinseOralWalmart Inc.79903-03379903-0033-44
Anticavitysodium fluorideSodium fluoride .2 mg/mLMouthwashOralUnited Natural Foods, Inc. dba UNFI41163-58141163-0581-86

All 35 Anticavity NDCs

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
Pro-Syssodium fluorideSodium fluoride .11 g/100gPaste, DentifriceDental, OralBenco Dental66975-720
Colgate Kids Mild Bubble Fruit Flavorsodium fluorideSodium fluoride 1.1 mg/gGel, DentifriceDentalColgate-Palmolive Company35000-918
ACT Restoring Anticavity Fluoride Cool Mintsodium fluorideSodium fluoride .2 mg/mLMouthwashTopicalChattem, Inc.41167-0957
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralHARRIS TEETER72036-213
Freshmint Anticavity Fluoridesodium fluorideSodium fluoride 2.2 mg/gGel, DentifriceDentalNew World Imports, Inc51824-068
Ionite Hstannous fluorideStannous fluoride .63 mg/100mLMouthwashDentalDharma Research, Inc.53045-275
smart way MINT cavity protectionsodium monofluorophosphateSodium monofluorophosphate .13 g/100gPaste, DentifriceDentalThe Kroger Co.59450-010
Sodium Monofluorophosphatewhite toothpasteSodium monofluorophosphate 760 mg/gPasteDentalDynarex Corporation67777-181
Anticavity mouth rinse Low-foaming Spearmint718 us variant anticavity mouth rinse low-foaming spearmintSodium fluoride .02 g/100mLMouthwashOralDyson Technology Limited87649-7180
TheraBreath Anticavitysodium fluorideSodium fluoride .002 mg/10mLRinseOralChurch & Dwight Co., Inc.10237-265
Colgate Strawberry Burstsodium fluorideSodium fluoride 1.1 mg/gGel, DentifriceDentalColgate-Palmolive Company35000-915
ACT Anticavity Fluoride Kids Bubblegumsodium fluorideSodium fluoride .2 mg/mLRinseTopicalChattem, Inc.41167-0944
United Airlines Therabody UPP Kitsodium monofluorophosphate—KitWessco International42509-136
Ionite Hstannous fluorideStannous fluoride .63 mg/100mLMouthwashDentalDharma Research, Inc.53045-276
Morning Fresh Mint Toothpaste, with FluorideSodium monofluorophosphate 1.3 mg/mLPasteDentalDynarex Corporation67777-190
ULTRA BRITE Baking Soda and Peroxide Whitening Cool Mintsodium monofluorophosphateSodium monofluorophosphate 1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-916
ACT Anticavity Fluoride Kids Groovy Grapesodium fluorideSodium fluoride .2 mg/mLRinseTopicalChattem, Inc.41167-0945
Eurofresh Whiteningsodium fluorideSodium fluoride 1.08 mg/gPaste, DentifriceTopicalFarmasi US LLC74690-008
Bubble Fresh Toothpaste, with FluorideSodium fluoride 220 mg/gPasteDentalDynarex Corporation67777-191
Pro-Syssodium fluoride and potassium nitrateSodium fluoride .11 g/100gPaste, DentifriceDental, OralBenco Dental66975-700

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