Over-the-counter drug · OTC MONOGRAPH DRUG

Anticavity Fluoride Rinse (Sodium fluoride) NDC 63941-170

Sodium fluoride .2 mg/mL · Mouthwash · Oral · Valu Merchandisers Company

NDC codes

FDA NDC Directory
Product NDC (as listed)63941-170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63941-0170Add 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
63941-170-4463941017044532 mL in 1 BOTTLE, PLASTIC (63941-170-44)Marketed from Aug 25, 2021

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)
Anticavity Fluoride Rinse
Generic name (nonproprietary)
sodium fluoride
Active ingredients
Sodium fluoride — .2 mg/mL
Dosage form
Mouthwash
Route
Oral
Labeler
Valu Merchandisers CompanyNDC labeler code 63941
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 63941-170_4af5cea9-46cf-3128-e063-6294a90a9817SPL ID 4af5cea9-46cf-3128-e063-6294a90a9817SPL set ID e31c1609-a1c3-4ed5-adfd-3cfa63205ec3RxCUI 240698UNII 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

N463941017044 followed by a unit qualifier and the quantity

Package 63941-0170-44. 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)

Use aids in the prevention of dental cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63941-170

What is NDC 63941-170?
63941-170 is the product NDC for Anticavity Fluoride Rinse (sodium fluoride), Sodium fluoride .2 mg/mL mouthwash, listed with the FDA by Valu Merchandisers Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Anticavity Fluoride Rinse (Sodium Fluoride).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Valu Merchandisers Company, NDC labeler code 63941. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Anticavity Fluoride Rinse?
20 other product NDCs are listed under this name. See all Anticavity Fluoride Rinse 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 Anticavity Fluoride Rinse NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Anticavity fluoride rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralMeijer, Inc.79481-083879481-0838-01
Anticavity fluoride rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralTopco Associates LLC76162-83876162-0838-38
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralNice-Pak Products, LLC11344-00411344-0004-44
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralDemoulas Super Markets, Inc53942-21353942-0213-44
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralAmazon.com Services LLC72288-21372288-0213-44
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .1 mg/mLMouthwashOralLidl US, LLC71141-15971141-0159-32
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .2 mg/mLMouthwashOralH E B37808-21337808-0213-44
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .1 mg/mLMouthwashOralFamily Dollar Stores, Inc55319-16355319-0163-86
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .1 mg/mLMouthwashOralPublix Super Markets, Inc.56062-16356062-0163-86
Anticavity Fluoride Rinsesodium fluorideSodium fluoride .1 mg/mLMouthwashOralH E B37808-16337808-0163-86

All 21 Anticavity Fluoride Rinse NDCs

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
ProductStrengthForm · routeLabelerProduct NDC
365 Everyday Value Cavity Fighting and Whiteningsodium monoflourophosphateSodium monofluorophosphate .13 g/100gPaste, DentifriceDentalWhole Foods Market, Inc.42681-5002
365 Everyday Value Kids Flouridesodium monofluorophosphateSodium monofluorophosphate .13 g/100gPaste, DentifriceDentalWhole Foods Market, Inc.42681-5276
3ECARE Dual FormulaToothpastefor sensitiveteethpotassium nitrate sodium monofluorophosphatePotassium nitrate 5 g/100g; Sodium monofluorophosphate 5 g/100gPaste, DentifriceDentalHangzhou Namei Zhikang Technology Co., Ltd.87514-004
3ECARE Dual FormulaWhiteningToothpastesodium fluorideSodium fluoride .155 g/100gPaste, DentifriceDentalHangzhou Namei Zhikang Technology Co., Ltd.87514-003
A and H Plus Therabreath Breath Freshnerssodium fluorideSodium fluoride .243 g/100gPaste, DentifriceOralChurch & Dwight Co., Inc.10237-676
ACT Anticavity Fluoride Arctic Blastsodium fluorideSodium fluoride .2 mg/mLMouthwashTopicalChattem, Inc.41167-0937
ACT Anticavity Fluoride Cinnamonsodium fluorideSodium fluoride .2 mg/mLRinseTopicalChattem, Inc.41167-0940
ACT Anticavity Fluoride Kids Bubblegumsodium fluorideSodium fluoride .2 mg/mLRinseTopicalChattem, Inc.41167-0944
ACT Anticavity Fluoride Kids Groovy Grapesodium fluorideSodium fluoride .2 mg/mLRinseTopicalChattem, Inc.41167-0945
ACT Anticavity Fluoride Kids Wild Watermelonsodium fluoride 0.24 (0.14 w/v fluoride ion)Sodium fluoride 1.4 mg/gPasteTopicalChattem, Inc.41167-0924
ACT Anticavity Fluoride Mintsodium fluorideSodium fluoride .2 mg/mLRinseTopicalChattem, Inc.41167-0942
ACT Kids Anticavity Fluoride Bubble Gum Blowoutsodium fluorideSodium fluoride 1.4 mg/gPasteTopicalChattem, Inc.41167-0922
ACT Kids Anticavity Fluoride Groovy Grapesodium fluorideSodium fluoride 1.4 mg/gPaste, DentifriceTopicalChattem, Inc.41167-0926
ACT Kids Anticavity Fluoride Pineapple Punchsodium fluorideSodium fluoride .2 mg/mLMouthwashTopicalChattem, Inc.41167-0953
ACT Kids Anticavity Fluoride Wild Watermelonsodium fluorideSodium fluoride .5 mg/mLRinseTopicalChattem, Inc.41167-0938
ACT Kids Berry Blastsodium fluorideSodium fluoride .5 mg/mLRinseOralChattem, Inc.41167-0976
ACT Kids Pure Protect Anticavity- Simply Strawberrysodium fluorideSodium fluoride .5 mg/mLRinseOralChattem, Inc.41167-0915
ACT Restoring Anticavity Fluoride Cool Mintsodium fluorideSodium fluoride .2 mg/mLMouthwashTopicalChattem, Inc.41167-0957
ACT Restoring Anticavity Fluoride Cool Mintsodium fluorideSodium fluoride .09 mg/mLMouthwashTopicalChattem, Inc.41167-0981
ACT Restoring Anticavity Fluoride Mint Burstsodium fluorideSodium fluoride .2 mg/mLMouthwashOralChattem, Inc.41167-0978

Showing 20 of 40.

Med-Code uses cookies for analytics and advertising. You can accept or reject them; the site works either way. Privacy Policy.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free Med-Code account to keep looking up NDCs, J-codes and drugs.

Create a free accountLog in