NDC codes

FDA NDC Directory
Product NDC (as listed)63941-664Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63941-0664Add 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
63941-664-12639410664121500 mL in 1 BOTTLE, PLASTIC (63941-664-12)Marketed from Mar 15, 1998
63941-664-7763941066477500 mL in 1 BOTTLE, PLASTIC (63941-664-77)Marketed from Mar 15, 1998
63941-664-86639410664861000 mL in 1 BOTTLE, PLASTIC (63941-664-86)Marketed from Mar 15, 1998

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)
Antispetic
Generic name (nonproprietary)
eucalyptol, menthol, methyl salicylate, thymol
Active ingredients
Eucalyptol — .92 mg/mLMenthol — .42 mg/mLMethyl salicylate — .6 mg/mLThymol — .64 mg/mL
Dosage form
Mouthwash
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication 505(a)(3)
Marketing start
Listing expires
Identifiers
Product ID 63941-664_4af63e71-f1d4-cfb8-e063-6294a90a8becSPL ID 4af63e71-f1d4-cfb8-e063-6294a90a8becSPL set ID d0ff1845-b937-457d-a6f0-b0c875f12c81RxCUI 1043619UNII RV6J6604TK, L7T10EIP3A, LAV5U5022Y, 3J50XA376E

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

N463941066412 followed by a unit qualifier and the quantity

Package 63941-0664-12. 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 helps control plaque that leads to gingivitis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under 505(a)(3)

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

FDA NDC Directory listings under 505(a)(3)
ProductStrengthForm · routeLabelerProduct NDC
B-Pure Hand Sanitizer Fig ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-204
B-Pure Hand Sanitizer Cherry ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-203
B-Pure Hand Sanitizer Vanilla Honey ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-205
B-Pure Moisturizing Hand Sanitizer Peachy Cherry Bliss ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-206
B-Pure Moisturizing Hand SanitizerSugared Strawberry ScentedalcoholAlcohol 70 mL/100mLLiquidTopicalFourstar Group USA, Inc.80684-207
Moisturizing Hand Sanitizerethyl alcoholAlcohol 62 mL/100mLGelTopicalUpLift Brands, LLC83986-447

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