Prescription drug · UNAPPROVED DRUG OTHER
Sodium Fluoride Chewable (sodium fluoride) NDC 58657-160
Sodium fluoride .25 mg/1 · Tablet · Oral · Method Pharmaceuticals, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 58657-160-12 | 58657016012 | 120 TABLET in 1 BOTTLE (58657-160-12)Marketed from Aug 17, 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)
- Sodium Fluoride Chewable
- Generic name (nonproprietary)
- sodium fluoride
- Active ingredients
- Sodium fluoride — .25 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Method Pharmaceuticals, LLC
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Identifiers
- Product ID 58657-160_41b579ba-642e-b6d6-e063-6394a90a8e24SPL ID 41b579ba-642e-b6d6-e063-6394a90a8e24SPL set ID e2061541-bf1c-4ee3-afde-36894394dbeaRxCUI 198215, 313036, 315213UNII 8ZYQ1474W7UPC 0358657162122, 0358657160128, 0358657161125, 0358657161101
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
N458657016012followed by a unit qualifier and the quantityPackage 58657-0160-12. 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)
INDICATIONS AND USAGE For once daily self-applied systemic use as a dental caries preventive in pediatric patients. It has been established that ingestion of fluoridated drinking water (1 ppm F¯) during the period of tooth development results in a significant decrease in the incidence of dental caries. Sodium Fluoride Chewable Tablets were developed to provide systemic fluoride for use as a supplement in pediatric patients from age 3 years to age 16 years and older living in areas where the drinking water fluoride contents does not exceed 0.6 ppm F¯.
Excerpt only. Read the full label for complete information.