teeth and gums NDC 69779-014

NDC codes

FDA NDC Directory

Product NDC (as listed)69779-014Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69779-0014Add 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 NDC	11-digit (billing)	Package	Copy
69779-014-01	69779001401	1 BOTTLE in 1 CARTON (69779-014-01) / 29.6 mL in 1 BOTTLEMarketed from Apr 9, 2015

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): teeth and gums
Generic name (nonproprietary): calc fluorica, calc phos, ferrum phos, kali phos, mag phos, malus pumila, flos, rock water, ulex europaeus, flos
Active ingredients: Calcium fluoride — 12 [hp_X]/29.6mLTribasic calcium phosphate — 12 [hp_X]/29.6mLFerrosoferric phosphate — 12 [hp_X]/29.6mLPotassium phosphate, Dibasic — 6 [hp_X]/29.6mLMagnesium phosphate, Dibasic trihydrate — 12 [hp_X]/29.6mLMalus domestica flower — 5 [hp_X]/29.6mLWater — 5 [hp_X]/29.6mLUlex europaeus flower — 5 [hp_X]/29.6mL
Dosage form: Spray
Route: Oral
Labeler: Siddha Flower Essences LLC
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Apr 9, 2015
Listing expires: Dec 31, 2027
Other FDA classes: Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 69779-014_474c9df2-6434-569c-e063-6394a90a7707SPL ID 474c9df2-6434-569c-e063-6394a90a7707SPL set ID 926c79d5-d270-4c0d-aca9-b58571c24f3aUNII O3B55K4YKI, 91D9GV0Z28, 91GQH8I5F7, CI71S98N1Z, HF539G9L3Q, EF626V855K, 059QF0KO0R, 398DBS1PXNUPC 0897186002122
Pharmacologic class: Blood Coagulation Factor; Calculi Dissolution Agent; Osmotic Laxative; Phosphate Binder; Potassium Salt

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

N469779001401 followed by a unit qualifier and the quantity

Package 69779-0014-01. 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

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