What is NDC 63404-0910?

63404-0910 is the product NDC for SprinJene Fresh Boost (sodium fluoride), Sodium fluoride 1.5 mg/g gel, dentifrice, listed with the FDA by Health and Natural Beauty USA Corp. It has 3 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

SprinJene Fresh Boost (Sodium Fluoride).

Health and Natural Beauty USA Corp, NDC labeler code 63404. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for SprinJene Fresh Boost?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

SprinJene Fresh Boost NDC 63404-0910

NDC codes

FDA NDC Directory

Product NDC (as listed)63404-0910Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63404-0910Add 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
63404-0910-1	6340409100163404091001	1 TUBE in 1 CARTON (63404-0910-1) / 130 g in 1 TUBEMarketed from Oct 10, 2014
63404-0910-2	6340409100263404091002	1 TUBE in 1 CARTON (63404-0910-2) / 42 g in 1 TUBEMarketed from Oct 10, 2014
63404-0910-3	6340409100363404091003	1 TUBE in 1 CARTON (63404-0910-3) / 75 g in 1 TUBEMarketed from Jan 1, 2026

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): SprinJene Fresh BoostSuffix: Fresh Boost
Generic name (nonproprietary): sodium fluoride
Active ingredients: Sodium fluoride — 1.5 mg/g
Dosage form: Gel, Dentifrice
Route: Dental
Labeler: Health and Natural Beauty USA CorpNDC labeler code 63404
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 021
Marketing start: Oct 10, 2014
Listing expires: Dec 31, 2027
Identifiers: Product ID 63404-0910_8a4e6021-6529-4cfd-ab1a-0f756a9be87bSPL ID 8a4e6021-6529-4cfd-ab1a-0f756a9be87bSPL set ID 919f6f51-6c43-4f1c-9bc7-029bf76c0e68RxCUI 891775UNII 8ZYQ1474W7UPC 0363404000923

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

N463404091001 followed by a unit qualifier and the quantity

Package 63404-0910-01. 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

Current FDA label (SPL), effective Aug 14, 2026.

Indications (excerpt from the label)

Use Helps in the prevention of caries

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63404-0910

What is NDC 63404-0910?: 63404-0910 is the product NDC for SprinJene Fresh Boost (sodium fluoride), Sodium fluoride 1.5 mg/g gel, dentifrice, listed with the FDA by Health and Natural Beauty USA Corp. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: SprinJene Fresh Boost (Sodium Fluoride).
What is the active ingredient?: Sodium fluoride.
Who is the labeler?: Health and Natural Beauty USA Corp, NDC labeler code 63404. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for SprinJene Fresh Boost?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 021

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 021
Product	Strength	Form · route	Labeler	Product NDC
Colgate Strawberry Burstsodium fluoride	Sodium fluoride 1.1 mg/g	Gel, DentifriceDental	Colgate-Palmolive Company	35000-915
Toms Of Maine Whiten Plus Deep Clean Spearmintsodium fluoride	Sodium fluoride 1.1 mg/g	Paste, DentifriceDental	Tom's of Maine, Inc.	51009-921
Freshen Upsodium fluoride	Sodium fluoride 24 mg/100g	Gel, DentifriceDental	MKJ BRANDS LLC	77782-015
Alcohol-Free Anticavitysodium fluoride	Sodium fluoride .1 mg/mL	LiquidOral	Walmart Inc.	79903-279
Crest 3D White Fresh Mintsodium fluoride	Sodium fluoride 1.5 mg/g	Paste, DentifriceDental	Procter & Gamble Manufactura, S. de R.L. de C.V.	58933-881
Colgate Sparkling White Cinnamintsodium fluoride	Sodium fluoride 1.1 mg/g	Gel, DentifriceDental	Colgate-Palmolive Company	35000-900
Toms Of Maine Wicked Cool Mild Mintsodium monofluorophosphate	Sodium monofluorophosphate 1 mg/g	Paste, DentifriceDental	Tom's of Maine, Inc.	51009-912
DG health Sensitive Maximum Strengthpotassium nitrate, sodium fluoride	Sodium fluoride .24 g/100g; Potassium nitrate 5 g/100g	Paste, DentifriceDental	Dolgencorp, LLC	55910-360
GuruNanda Anticavitysodium fluoride	Sodium fluoride .2 mg/mL	MouthwashOral	GURUNANDA, LLC	70708-927
Equate Optimal Care TP Equate Optimal Care TPstannous fluoride	Stannous fluoride .16 g/100g	Paste, DentifriceOral	Walmart Inc.	79903-280
Crest 3D White Stain Eraser Icy Clean Mintsodium fluoride	Sodium fluoride 1.5 mg/g	Paste, DentifriceDental	Procter & Gamble Manufacturing Mxico, S. de R.L. de C.V.	58933-932
Colgate Max Fresh Cool Mintsodium fluoride	Sodium fluoride 1.1 mg/g	Gel, DentifriceDental	Colgate-Palmolive Company	35000-903
Toms of Maine Whiten Plus Deep Clean Peppermintsodium fluoride	Sodium fluoride 1.1 mg/g	Paste, DentifriceDental	Tom's of Maine	51009-920
Equate Pro-Advanced TP Equate Pro-Advanced TPstannous fluoride	Stannous fluoride .16 g/100g	Paste, DentifriceOral	Walmart Inc.	79903-281
COLGATE Great Regular Flavorsodium monofluorophosphate	Sodium monofluorophosphate 1 mg/g	Paste, DentifriceDental	Colgate-Palmolive Company	35000-913
Crest Complete plus Whiteningsodium fluoride	Sodium fluoride 1.5 mg/g	Paste, DentifriceDental	The Procter & Gamble Manufacturing Company	69423-894
Eversmile OrthoFoam Anticavity0.05% sodium fluoride rinse	Sodium fluoride .05 g/100mL	LiquidDental	Everbrands, Inc.	72655-600
Crest Premium Plus Deep Clean Active Foam plus Whitening Foaming Mintsodium fluoride	Sodium fluoride 1.5 mg/g	Paste, DentifriceDental	The Procter & Gamble Manufacturing Company	84126-662
Therabreath Healthy Gumsstannous fluoride	Stannous fluoride .454 g/100g	Paste, DentifriceOral	Church & Dwight Co., Inc.	10237-271
Crest 3D White Brilliance Charcoalsodium fluoride	Sodium fluoride 1.5 mg/g	Paste, DentifriceDental	Procter & Gamble Manfuacturing Company	37000-989

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SprinJene Fresh Boost (Sodium fluoride) NDC 63404-0910