NDC codes

FDA NDC Directory
Product NDC (as listed)69968-0788Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69968-0788Add 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
69968-0788-1699680788011000 mL in 1 BOTTLE, PLASTIC (69968-0788-1)Marketed from Feb 5, 2023
69968-0788-2699680788021500 mL in 1 BOTTLE, PLASTIC (69968-0788-2)Marketed from Feb 5, 2023
69968-0788-569968078805500 mL in 1 BOTTLE, PLASTIC (69968-0788-5)Marketed from Feb 5, 2023
69968-0788-9699680788092 BOTTLE, PLASTIC in 1 PACKAGE (69968-0788-9) / 1500 mL in 1 BOTTLE, PLASTICMarketed from Feb 5, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Listerine Ultraclean Antiseptic Cool MintSuffix: Cool Mint
Generic name (nonproprietary)
eucalyptol, menthol, methyl salicylate, thymol
Active ingredients
Thymol — .64 mg/mLEucalyptol — .92 mg/mLMenthol, Unspecified form — .42 mg/mLMethyl salicylate — .6 mg/mL
Dosage form
Mouthwash
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Listing expires
Identifiers
Product ID 69968-0788_322bfae8-c5a1-449b-e063-6294a90a596eSPL ID 322bfae8-c5a1-449b-e063-6294a90a596eSPL set ID ee467ec4-bd5e-644a-e053-2a95a90ac273RxCUI 1043619, 2043303UNII 3J50XA376E, RV6J6604TK, L7T10EIP3A, LAV5U5022YUPC 0312547422680

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

N469968078801 followed by a unit qualifier and the quantity

Package 69968-0788-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under M 022

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

FDA NDC Directory listings under M 022
ProductStrengthForm · routeLabelerProduct NDC
Finafta MultiOralbenzocaineBenzocaine 7.5 mg/100mLSprayOralEfficient Laboratories Inc.58593-782
DenTek Instant Pain Relief Maximum StrengthbenzocaineBenzocaine 200 mg/mLLiquidDental, TopicalDenTek Oral Care, Inc.60630-078
Astra-dent Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalZag Usa Inc71363-102
Pearson Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPearson Dental Supplies INC.43305-0008
Natural Cherry Honey Herb Throat DropsmentholMenthol 2.1 mg/1LozengeOralRicola USA Inc.63667-517
Pearson Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPearson Dental Supplies INC.43305-0009
HurriCaine Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDental, Oral, PeriodontalBeutlich Pharmaceuticals, LLC0283-0622
Astra-dent Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalZag Usa Inc71363-100
Toothachepolyhexamethylene biguanide hydrochloridePolihexanide hydrochloride .25 g/100mLSprayTopicalGuchutang Biotechnology (Longyan) Co., Ltd87083-012
Sore Mouth Cleanserhydrogen peroxideHydrogen peroxide 15 mg/mLMouthwashTopicalMeijer, Inc.41250-750
Pearson Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPearson Dental Supplies INC.43305-0010
Cherry Throat DropsmentholMenthol 1.3 mg/1LozengeOralRicola USA Inc.63667-518
Astra-dent Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalZag Usa Inc71363-101
EcoDent Ultimate Essential Mouthcare Sparkling Clean Mintsodium bicarbonateSodium bicarbonate 25 mg/mLLiquidOralLotus Brands, Inc.76328-223
Parodontax Active Gum Health Daily Mouthwash Breath Freshenercetylpyridinium chlorideCetylpyridinium chloride 70 mg/mLLiquidOralHaleon US Holdings LLC0135-0652
Patterson Dental Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPatterson Dental50227-1014
Natural Lemon Mint Herb Throat DropsmentholMenthol 1.5 mg/1LozengeOralRicola Ag54305-489
Quality Choice Maximum Strength Oral Pain RelievingbenzocaineBenzocaine 20 g/100gGelTopicalChain Drug Marketing Association Inc63868-953
Kaylaanzero waste refill for toothpasteSodium fluoride .37 mg/440mgTablet, ChewableDentalKaylaan LLC82091-116
Patterson Dental Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalPatterson Dental50227-1011

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