NDC codes

FDA NDC Directory
Product NDC (as listed)57511-0504Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57511-0504Add 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
57511-0504-2575110504022 TUBE in 1 BOX (57511-0504-2) / 96 g in 1 TUBE (57511-0504-1)Marketed from Jun 15, 2022

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)
FluoriMax 5000
Generic name (nonproprietary)
1.1% sodium fluoride toothpaste
Active ingredients
Sodium fluoride — 1.1 g/100g
Dosage form
Paste, Dentifrice
Route
Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 57511-0504_3f2c7ba3-31fd-ad52-e063-6394a90a2133SPL ID 3f2c7ba3-31fd-ad52-e063-6394a90a2133SPL set ID d9e462d9-f0fd-4168-e053-2995a90a95b2RxCUI 392038, 2603773UNII 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

N457511050402 followed by a unit qualifier and the quantity

Package 57511-0504-02. 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 .

Full label on DailyMed (opens in a new tab)

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