Prescription drug · UNAPPROVED DRUG OTHER
Kolorz Sixty Second Fluoride Blue Raspberry NDC 25047-774
sodium fluoride · Sodium fluoride 12.3 mg/mL · Gel · Dental · DMG AMERICA, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 25047-774-16 | 25047077416 | 480 mL in 1 BOTTLE (25047-774-16)Marketed from Nov 22, 2006 |
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)
- Kolorz Sixty Second Fluoride Blue RaspberrySuffix: BLUE RASPBERRY
- Generic name (nonproprietary)
- sodium fluoride
- Active ingredients
- Sodium fluoride — 12.3 mg/mL
- Dosage form
- Gel
- Route
- Dental
- Labeler
- DMG AMERICA, LLC
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Identifiers
- Product ID 25047-774_f15de5cf-4f64-472b-bda4-87daed17c864SPL ID f15de5cf-4f64-472b-bda4-87daed17c864SPL set ID 21fa26f2-0162-4044-aec0-d5360be3f3e0RxCUI 1535362, 2121950UNII 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
N425047077416followed by a unit qualifier and the quantityPackage 25047-0774-16. 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 .
Indications (excerpt from the label)
INDICATIONS For topical application of fluoride to aid in the protection against dental caries.
Excerpt only. Read the full label for complete information.