NDC codes

FDA NDC Directory
Product NDC (as listed)57511-0003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57511-0003Add 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
57511-0003-15751100030197 g in 1 TUBE (57511-0003-1)Marketed from Aug 28, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Just Right 5000
Generic name (nonproprietary)
1.1% sodium fluoride toothpaste
Active ingredients
Sodium fluoride — 1.1 g/100g
Dosage form
Gel, Dentifrice
Route
Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 57511-0003_3f2d809f-b20f-7a7d-e063-6294a90a85f4SPL ID 3f2d809f-b20f-7a7d-e063-6294a90a85f4SPL set ID adf22ce4-b567-5274-e053-2a95a90a8536RxCUI 392038UNII 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

N457511000301 followed by a unit qualifier and the quantity

Package 57511-0003-01. 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

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