Fluoridex (sodium fluoride) NDC 59883-031

NDC codes

FDA NDC Directory

Product NDC (as listed)59883-031Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59883-0031Add 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 NDC	11-digit (billing)	Package	Copy
59883-031-04	59883003104	1 TUBE in 1 BOX (59883-031-04) / 112 g in 1 TUBEMarketed from Dec 21, 2016
59883-031-05	59883003105	24 g in 1 TUBE (59883-031-05)Marketed from Aug 22, 2018 · Sample package

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): Fluoridex
Generic name (nonproprietary): sodium fluoride
Active ingredients: Potassium nitrate — 50 mg/gSodium fluoride — 5 mg/g
Dosage form: Paste, Dentifrice
Route: Dental
Labeler: DENT-MAT HOLDINGS, LLC.
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Dec 21, 2016
Listing expires: Dec 31, 2026
Identifiers: Product ID 59883-031_2cf0556f-5090-c02c-e063-6394a90a4b40SPL ID 2cf0556f-5090-c02c-e063-6394a90a4b40SPL set ID 601774d5-f4de-01bc-e053-2991aa0a7f4fRxCUI 637365, 847014UNII RU45X2JN0Z, 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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N459883003104 followed by a unit qualifier and the quantity

Package 59883-0031-04. 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 Jan 30, 2025.

Indications (excerpt from the label)

Fluoridex toothpaste is indicated for use as part of a professional program for the prevention and control of dental caries.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)