NDC codes

FDA NDC Directory
Product NDC (as listed)53045-300Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53045-0300Add 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
53045-300-305304503003035 g in 1 BOTTLE, PLASTIC (53045-300-30)Marketed from Jan 1, 2013

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)
Frenna AC
Generic name (nonproprietary)
aluminum chloride
Active ingredients
Aluminum chloride — 8.75 g/35g
Dosage form
Solution
Route
Dental, Oral, Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 53045-300_6b95574e-24cf-4cb9-a23a-284c2981fa33SPL ID 6b95574e-24cf-4cb9-a23a-284c2981fa33SPL set ID d09ae142-6fd5-45e4-a9c4-44428885ccafRxCUI 244613UNII 3CYT62D3GA

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

N453045030030 followed by a unit qualifier and the quantity

Package 53045-0300-30. 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)

Frenna AC is a topical astringent solution of Aluminum Chloride. Gingival retraction can be achieved using a plain gingival retraction cord moistened with Frenna AC. Stops gingival bleeding fast. If you should anadvertently damage the gingival margin during tooth preparation or while placing a strip, a band, or a cervical matrix, moisten the area with Frenna AC which will control and stop bleeding quickly. Frenna AC contains no epinephrine. The use of casoconstrictors for gingival retractions and bleeding is potentially dangerous and should be avoided. A plain gingival retraction cord can be dipped in Frenna AC solution and then placed into the gingival sulcus for its hemostatic action.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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