NDC codes

FDA NDC Directory
Product NDC (as listed)63629-1130Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-1130Add 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
63629-1130-163629113001120 TABLET in 1 BOTTLE (63629-1130-1)Marketed from Oct 21, 2020

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)
Sodium Fluoride Chewable
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — .25 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 63629-1130_43fd65d9-4078-421c-b59a-ddd84394099bSPL ID 43fd65d9-4078-421c-b59a-ddd84394099bSPL set ID be789a6f-b4b4-4088-aaeb-bcbc6ae1e33bRxCUI 198215UNII 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

N463629113001 followed by a unit qualifier and the quantity

Package 63629-1130-01. 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 .

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.

Full label on DailyMed (opens in a new tab)

About NDC 63629-1130

What is NDC 63629-1130?
63629-1130 is the product NDC for Sodium Fluoride Chewable (sodium fluoride), Sodium fluoride .25 mg/1 tablet, listed with the FDA by Bryant Ranch Prepack. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sodium Fluoride Chewable (Sodium Fluoride).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sodium Fluoride Chewable?
10 other product NDCs are listed under this name. See all Sodium Fluoride Chewable NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Sodium Fluoride Chewable NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sodium Fluoride Chewablesodium fluorideSodium fluoride .25 mg/1TabletOralMethod Pharmaceuticals, LLC58657-16058657-0160-12
Sodium Fluoride Chewablesodium fluorideSodium fluoride .5 mg/1TabletOralMethod Pharmaceuticals, LLC58657-16158657-0161-1058657-0161-12
Sodium Fluoride Chewablesodium fluorideSodium fluoride 1 mg/1TabletOralMethod Pharmaceuticals, LLC58657-16258657-0162-12
Sodium Fluoride Chewablesodium fluorideSodium fluoride .5 mg/1TabletOralBryant Ranch Prepack63629-113163629-1131-01
Sodium Fluoride Chewablesodium fluorideSodium fluoride .5 mg/1TabletOralBryant Ranch Prepack63629-113263629-1132-01
Sodium Fluoride Chewablesodium fluorideSodium fluoride 1 mg/1TabletOralBryant Ranch Prepack63629-113363629-1133-01
Sodium Fluoride Chewablesodium fluorideSodium fluoride 1 mg/1TabletOralBryant Ranch Prepack71335-272471335-2724-01
Sodium Fluoride Chewablesodium fluorideSodium fluoride .25 mg/1TabletOralBryant Ranch Prepack72162-165272162-1652-02
Sodium Fluoride Chewablesodium fluorideSodium fluoride .5 mg/1TabletOralBryant Ranch Prepack72162-165372162-1653-0072162-1653-02
Sodium Fluoride Chewablesodium fluorideSodium fluoride 1 mg/1TabletOralBryant Ranch Prepack72162-165472162-1654-02

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