Over-the-counter drug · OTC MONOGRAPH DRUG
Anticavity Rinse (Sodium fluoride) NDC 63941-904
Sodium fluoride .2 mg/mL · Mouthwash · Oral · Valu Merchandisers Company
NDC codes
FDA NDC DirectoryProduct NDC (as listed)63941-904Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63941-0904Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 63941-904-77 | 63941090477 | 500 mL in 1 BOTTLE, PLASTIC (63941-904-77)Marketed from Jul 29, 2022 |
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 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 63941-904_4af574ed-4f49-55b4-e063-6394a90a7a5dSPL ID 4af574ed-4f49-55b4-e063-6394a90a7a5dSPL set ID 088b95e6-30fd-4263-9fdc-57cd63385b71RxCUI 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
N463941090477followed by a unit qualifier and the quantityPackage 63941-0904-77. 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.
About NDC 63941-904
- What is NDC 63941-904?
- 63941-904 is the product NDC for Anticavity 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 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 Rinse?
- 9 other product NDCs are listed under this name. See all Anticavity Rinse NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Anticavity Rinse products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Anticavity Rinsesodium fluoride | Sodium fluoride .5 mg/mL | MouthwashOral | Rite Aid Corporation | 11822-4004 | 11822-4004-04 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Meijer, Inc. | 79481-0201 | 79481-0201-01 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Amazon.com Services LLC | 72288-004 | 72288-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Demoulas Super Markets, Inc | 53942-004 | 53942-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Family Dollar Stores, Inc | 55319-004 | 55319-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Retail Business Services, LLC | 72476-204 | 72476-0204-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | H E B | 37808-808 | 37808-0808-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Walmart Inc. | 49035-004 | 49035-0004-44 |
| Anticavity Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | Meijer, Inc. | 41250-004 | 41250-0004-44 |
Other NDCs under M 021
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Crest 3D White Advanced Radiant Mint with Stain Blasting Foamsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 84126-629 |
| Orajel Kids Supermananticavity toothpaste | Sodium fluoride 1.5 mg/g | Gel, DentifriceDental | Church & Dwight Co., Inc. | 10237-732 |
| Dr Tichenors With Extra Whitening and Tartar Controlsodium fluoride | Sodium fluoride 2.43 mg/g | Paste, DentifriceOral | Dr. G. H. Tichenor's Antiseptic Company | 11291-243 |
| Colgate Kids Maximum Cavity Protectionsodium fluoride | Sodium fluoride 1.1 mg/g | Gel, DentifriceDental | Colgate-Palmolive | 35000-190 |
| Anticavity Fluoride Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | H E B | 37808-213 |
| Frida Fluoride Sweet Mintsodium fluoride | Sodium fluoride 2.2 mg/g | Paste, DentifriceDental | Fridababy, LLC | 72705-502 |
| Tom Whole Care Peppermint fights cavities whitening fresh breath helps fight tartarsodium monofluorophosphate | Sodium monofluorophosphate 1.4 mg/g | Paste, DentifriceDental | Tom's of Maine, Inc. | 51009-202 |
| Crest 3D White Advanced Deep Clean with Stain-Blasting Foamsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 84126-631 |
| Toms Whole Care Spearmint fights cavities whitening fresh breath helps fight tartarsodium monofluorophosphate | Sodium monofluorophosphate 1.4 mg/g | Paste, DentifriceDental | Tom's of Maine, Inc. | 51009-203 |
| Euthymol Whitening Special Gift Setsodium fluoride | — | KitDental | LG HOUSEHOLD & HEALTH CARE LTD. | 53208-574 |
| Therabreath Whiteningsodium fluoride | Sodium fluoride .243 g/100g | Paste, DentifriceOral | Church & Dwight Co., Inc. | 10237-272 |
| Colgate Maximum Cavity Protection Bubble Fruit Flavorsodium fluoride | Sodium fluoride 1.1 mg/g | Gel, DentifriceDental | Colgate-Palmolive Company | 35000-196 |
| Crest Cavity Protection Regularsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 37000-005 |
| Frida Fluoride Bubble Mintsodium fluoride | Sodium fluoride 2.2 mg/g | Paste, DentifriceDental | Fridababy, LLC | 72705-503 |
| Toms Wicked Fresh Cool Peppermint fresh breath / cavity protectionsodium monofluorophosphate | Sodium monofluorophosphate 1.4 mg/g | Paste, DentifriceDental | Tom's of Maine, Inc. | 51009-205 |
| POP Gel Pumpin Strawberrysodium fluoride | Sodium fluoride 1.3 mg/g | Paste, DentifriceDental | LG H&H Co., Ltd. | 53208-581 |
| Anticavity Fluoride Rinsesodium fluoride | Sodium fluoride .2 mg/mL | MouthwashOral | CVS Pharmacy, Inc. | 59779-004 |
| Crest 3D White Advanced Glamorous White with Stain-Blasting Foamsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceDental | The Procter & Gamble Manufacturing Company | 84126-632 |
| Osstem G Gum Health Care Toothsodium fluoride | Sodium fluoride .22 g/100g | Paste, DentifriceOral | Osstem Pharma Co., Ltd | 87548-020 |
| Colgate Kids Space Jam Mild Bubble Fruit Flavorsodium fluoride | Sodium fluoride 1.1 mg/g | Gel, DentifriceDental | Colgate-Palmolive Company | 35000-199 |
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