Chlorhexidine Gluconate Oral Rinse NDC 73614-203

NDC codes

FDA NDC Directory

Product NDC (as listed)73614-203Labeler and product segments. Claims need a package NDC.

Product NDC at billing width73614-0203Add 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
73614-203-01	73614020301	118 mL in 1 BOTTLE (73614-203-01)Marketed from Feb 10, 2025

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): Chlorhexidine Gluconate Oral Rinse
Generic name (nonproprietary): chlorhexidine gluconate oral rinse
Active ingredients: Chlorhexidine gluconate — 1.2 mg/mL
Dosage form: Solution
Route: Dental
Labeler: Brisk Pharmaceuticals
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 075561
Marketing start: Jul 27, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Decreased Cell Wall Integrity (Physiologic effect)
Identifiers: Product ID 73614-203_2dcc3920-d9ee-bd56-e063-6294a90a0f3eSPL ID 2dcc3920-d9ee-bd56-e063-6294a90a0f3eSPL set ID 2dcc3920-d9ed-bd56-e063-6294a90a0f3eRxCUI 834127UNII MOR84MUD8E

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

N473614020301 followed by a unit qualifier and the quantity

Package 73614-0203-01. 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.