NDC codes

FDA NDC Directory
Product NDC (as listed)53942-664Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53942-0664Add 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
53942-664-12539420664121500 mL in 1 BOTTLE, PLASTIC (53942-664-12)Marketed from Mar 31, 2022
53942-664-7753942066477500 mL in 1 BOTTLE, PLASTIC (53942-664-77)Marketed from Mar 15, 1998
53942-664-86539420664861000 mL in 1 BOTTLE, PLASTIC (53942-664-86)Marketed from Mar 15, 1998

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)
Antispetic
Generic name (nonproprietary)
eucalyptol, menthol, methyl salicylate, thymol
Active ingredients
Eucalyptol — .92 mg/mLMenthol — .42 mg/mLMethyl salicylate — .6 mg/mLThymol — .64 mg/mL
Dosage form
Mouthwash
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication 505G9a)(3)
Marketing start
Listing expires
Identifiers
Product ID 53942-664_49f102b7-c27f-c5b1-e063-6394a90af220SPL ID 49f102b7-c27f-c5b1-e063-6394a90af220SPL set ID c346f4e8-3990-49f1-aa8c-410c2f6265a3RxCUI 1043619UNII RV6J6604TK, L7T10EIP3A, LAV5U5022Y, 3J50XA376E

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

N453942066412 followed by a unit qualifier and the quantity

Package 53942-0664-12. 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 helps control plaque that leads to gingivitis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in