NDC codes

FDA NDC Directory
Product NDC (as listed)16571-128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width16571-0128Add 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
16571-128-4816571012848473 mL in 1 BOTTLE (16571-128-48)Marketed from Jul 27, 2023
16571-128-5216571012852100 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (16571-128-52) / 15 mL in 1 CUP, UNIT-DOSE (16571-128-15)Marketed from Apr 1, 2024

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)
Chlorhexidine Gluconate Oral Rinse
Generic name (nonproprietary)
chlorhexidine gluconate oral rinse
Active ingredients
Chlorhexidine gluconate — 1.2 mg/mL
Dosage form
Solution
Route
Dental
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075561
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 16571-128_ef0aace4-0140-4eb9-8756-83414d6dd2e3SPL ID ef0aace4-0140-4eb9-8756-83414d6dd2e3SPL set ID b6b45b87-aa53-4d3a-be59-f3d3b0774a7bRxCUI 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 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

N416571012848 followed by a unit qualifier and the quantity

Package 16571-0128-48. 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)

INDICATION Chlorhexidine gluconate oral rinse 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 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)

Other NDCs under ANDA 075561

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

FDA NDC Directory listings under ANDA 075561
ProductStrengthForm · routeLabelerProduct NDC
Chlorhexidine Gluconate, 0.12% Oral Rinse Solutionchlorhexidine gluconate, 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLSolutionDentalKesin Pharma Corporation81033-512
Chlorhexidine Gluconate, 0.12% Oral Rinse Solutionchlorhexidine gluconate, 0.12% oral rinseChlorhexidine gluconate 1.2 mg/mLSolutionDentalA2A Integrated Pharmaceuticals, LLC73141-512
Chlorhexidine Gluconate Oral RinseChlorhexidine gluconate 1.2 mg/mLSolutionDentalAtlantic Biologicals Corp.17856-2128
Chlorhexidine Gluconate, 0.12% Oral Rinse SolutionChlorhexidine gluconate 1.2 mg/mLSolutionDentalBajaj Medical, LLC61037-469
Chlorhexidine Gluconate Oral RinseChlorhexidine gluconate 1.2 mg/mLSolutionDentalNuCare Pharmaceuticals,Inc.68071-3630
Chlorhexidine Gluconate Oral RinseChlorhexidine gluconate 1.2 mg/mLSolutionDentalBrisk Pharmaceuticals73614-203
CleanCare Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLSolutionDentalSafco Dental Supply LLC67239-0225
CleanCare Chlorhexidine Gluconate 0.12% Oral Rinsechlorhexidine gluconateChlorhexidine gluconate 1.2 mg/mLSolutionDentalSafco Dental Supply LLC67239-0225
Chlorhexidine Gluconate, 0.12% Oral RinseChlorhexidine gluconate 1.2 mg/mLSolutionDentalAmerican Health Packaging60687-714

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