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 | 6394109047763941090477 | 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 |
|---|---|---|---|---|
| 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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