NDC codes

FDA NDC Directory
Product NDC (as listed)67777-180Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0180Add 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
67777-180-0367777018003720 BOX in 1 CASE (67777-180-03) / 144 TUBE in 1 BOX (67777-180-02) / 17 g in 1 TUBE (67777-180-01)Marketed from Jul 16, 2024
67777-180-066777701800660 BOX in 1 CASE (67777-180-06) / 1 TUBE in 1 BOX (67777-180-05) / 130 g in 1 TUBE (67777-180-04)Marketed from Jul 16, 2024
67777-180-0867777018008144 TUBE in 1 CASE (67777-180-08) / 42.5 g in 1 TUBE (67777-180-07)Marketed from Jul 16, 2024
67777-180-1167777018011720 BOX in 1 CASE (67777-180-11) / 144 TUBE in 1 BOX (67777-180-10) / 24 g in 1 TUBE (67777-180-09)Marketed from Jul 16, 2024

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)
Sodium Fluoride
Generic name (nonproprietary)
clear mint, gel toothpaste
Active ingredients
Sodium fluoride — 220 mg/g
Dosage form
Gel
Route
Dental
Labeler
Dynarex CorporationNDC labeler code 67777
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 021
Marketing start
Listing expires
Identifiers
Product ID 67777-180_1be193b6-4c08-4f0a-e063-6394a90a32c7SPL ID 1be193b6-4c08-4f0a-e063-6394a90a32c7SPL set ID 1be193b6-4c07-4f0a-e063-6394a90a32c7RxCUI 245598UNII 8ZYQ1474W7UPC 0840117336926, 0840117336957, 0840117336995, 0840117337015

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N467777018003 followed by a unit qualifier and the quantity

Package 67777-0180-03. 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(s) Helps protect against cavities

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67777-180

What is NDC 67777-180?
67777-180 is the product NDC for Sodium Fluoride, Sodium fluoride 220 mg/g gel, listed with the FDA by Dynarex Corporation. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sodium Fluoride (Clear Mint, Gel Toothpaste).
What is the active ingredient?
Sodium fluoride.
Who is the labeler?
Dynarex Corporation, NDC labeler code 67777. 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?
5 other product NDCs are listed under this name. See all Sodium Fluoride 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 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
sodium fluorideSodium fluoride .1 mg/mLMouthwashOralLidl US, LLC71141-57671141-0576-86
Sodium fluorideSodium fluoride .2 mg/mLMouthwashOralDemoulas Super Markets, Inc53942-58153942-0581-86
Sodium FluorideSodium fluoride 2.43 mg/gPaste, DentifriceDentalSafco Dental Supply LLC67239-022667239-0226-00
Sodium FluorideSodium fluoride 2.43 mg/gPaste, DentifriceDentalSafco Dental Supply LLC67239-022767239-0227-00
Sodium FluorideSodium fluoride .5 mg/mLSolution/ dropsOralMethod Pharmaceuticals, LLC58657-32258657-0322-50

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

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