NDC codes

FDA NDC Directory
Product NDC (as listed)54473-301Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54473-0301Add 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
54473-301-0454473030104108 g in 1 TUBE (54473-301-04)Marketed from Jan 1, 2018

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)
Whitening Tooth PolishSuffix: Tooth Polish
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — .26244 g/108g
Dosage form
Paste
Route
Topical
Labeler
Melaleuca, Inc.NDC labeler code 54473
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 54473-301_47484305-ef48-52ab-e063-6394a90abf93SPL ID 47484305-ef48-52ab-e063-6394a90abf93SPL set ID 6893405a-a2c4-068e-e053-2a91aa0ae5b1RxCUI 891775UNII 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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N454473030104 followed by a unit qualifier and the quantity

Package 54473-0301-04. 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 54473-301

What is NDC 54473-301?
54473-301 is the product NDC for Whitening Tooth Polish (sodium fluoride), Sodium fluoride .26244 g/108g paste, listed with the FDA by Melaleuca, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Whitening Tooth Polish (Sodium Fluoride).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Melaleuca, Inc., NDC labeler code 54473. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Whitening Tooth Polish?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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
Pepsodent Complete Care Originalsodium fluorideSodium fluoride 2.4 mg/gPaste, DentifriceDentalChurch & Dwight Co., Inc.10237-651
Colgate Total SF Clean Mintstannous fluorideStannous fluoride 1.1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-172
Tom Whole Care Peppermint fights cavities whitening fresh breath helps fight tartarsodium monofluorophosphateSodium monofluorophosphate 1.4 mg/gPaste, DentifriceDentalTom's of Maine, Inc.51009-202
DG health Sensitive Maximum Strengthpotassium nitrate, sodium fluorideSodium fluoride .24 g/100g; Potassium nitrate 5 g/100gPaste, DentifriceDentalDolgencorp, LLC55910-360
Freshen Upsodium fluorideSodium fluoride 24 mg/100gGel, DentifriceDentalMKJ BRANDS LLC77782-015
Colgate Phos-Flur Ortho Defense Alcohol Free Anticavity Mint Fluoridesodium fluorideSodium fluoride 2 mg/10mLRinseDentalColgate Oral Pharmaceuticals, Inc.0126-0032
Colgate MaxFresh Citrus Freshsodium fluorideSodium fluoride 1.1 mg/gGel, DentifriceDentalColgate-Palmolive Company35000-137
Crest Complete Plus Scope Outlast Ultrasodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-918
evo ADVANCED WHITENING ANTI-CAVITY FLUORIDE PEPPERMINTsodium fluorideSodium fluoride .24 g/100gPaste, DentifriceDentalAshtel Studios, Inc.70108-204
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralNice-Pak Products, LLC11344-004
Colgate MaxFresh Watermelon Blastsodium fluorideSodium fluoride 1.1 mg/gGel, DentifriceDentalColgate-Palmolive Company35000-138
Brush Buddies ADVANCED WHITENING ANTI-CAVITY FLUORIDE PEPPERMINTsodium fluorideSodium fluoride .24 g/100gPaste, DentifriceDentalAshtel Studios, Inc.70108-205
Colgate Total SF Advanced Deep Cleanstannous fluorideStannous fluoride 1.1 mg/gPaste, DentifriceDentalColgate-Palmolive Company35000-169
Crest Pro-Health Advanced Gum Restore Deep Cleanstannous fluorideStannous fluoride 1.4 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-925
Brush Buddies Oral Rinse Sparkle Mintsodium fluorideSodium fluoride .2 mg/mLMouthwashDentalASHTEL STUDIOS, INC70108-206
Enamur Fluoride AntiCavity Toothpastfluoride toothpastSodium fluoride 1.4 mg/gPaste, DentifriceOralProtegera, Inc83610-1050
Watermelon Flavor Sodium Fluoride Anticavity Toothpastsodium fluorideSodium fluoride .243 g/100gGelTopicalHISMILE PTY LTD83013-337
Meijer Restore and Defend Sensitivestannous fluorideStannous fluoride .15 g/100gPaste, DentifriceDentalMeijer Distribution Inc41250-530
Crest 4in1sodium fluorideSodium fluoride 1.5 mg/gPaste, DentifriceDentalThe Procter & Gamble Manufacturing Company69423-852
AutoBrush kids strawberrysodium fluorideSodium fluoride .243 g/100mLLiquidOralLander Enterprises, LLC82913-009

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