Prescription drug · UNAPPROVED DRUG OTHER
Pro-Den Rx (sodium fluoride) NDC 59883-911
Sodium fluoride 9 mg/mL · Rinse · Oral · Den-Mat Holdings, Llc
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59883-911-64 | 59883091164 | 1890 mL in 1 BOTTLE, PLASTIC (59883-911-64)Marketed from Oct 21, 2008 |
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)
- Pro-Den Rx
- Generic name (nonproprietary)
- sodium fluoride
- Active ingredients
- Sodium fluoride — 9 mg/mL
- Dosage form
- Rinse
- Route
- Oral
- Labeler
- Den-Mat Holdings, Llc
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Identifiers
- Product ID 59883-911_6a0ff4f9-a7f9-1e75-e053-2991aa0a2782SPL ID 6a0ff4f9-a7f9-1e75-e053-2991aa0a2782SPL set ID ba020e07-ad41-4419-a503-f1245131b7d2UNII 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N459883091164followed by a unit qualifier and the quantityPackage 59883-0911-64. 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 topical application to aid in the protection against dental caries. Neutral pH is especially safe for crowns and restorations.
Excerpt only. Read the full label for complete information.