Over-the-counter drug · OTC MONOGRAPH DRUG
Gum Detoxify (Stannous fluoride) NDC 79903-025
Stannous fluoride .14 g/100g · Paste, Dentifrice · Dental · Walmart
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-025-59 | 79903002559 | 116 g in 1 TUBE (79903-025-59)Marketed from Jul 1, 2021 |
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)
- Gum Detoxify
- Generic name (nonproprietary)
- stannous fluoride
- Active ingredients
- Stannous fluoride — .14 g/100g
- Dosage form
- Paste, Dentifrice
- Route
- Dental
- Labeler
- WalmartNDC labeler code 79903
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 021
- Marketing start
- Listing expires
- Identifiers
- Product ID 79903-025_47e61691-612c-f6e9-e063-6294a90a71d3SPL ID 47e61691-612c-f6e9-e063-6294a90a71d3SPL set ID ad3f645d-aaf9-2800-e053-2a95a90ab62fRxCUI 416784UNII 3FTR44B32Q
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
N479903002559followed by a unit qualifier and the quantityPackage 79903-0025-59. 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)
*aids in the prevention of cavities * helps prevent gingivitis * helps interfere with teh harmful effects of plaque associated with gingivitis * helps control plaque bacteria that contribute to teh development of gingivitis
Excerpt only. Read the full label for complete information.
About NDC 79903-025
- What is NDC 79903-025?
- 79903-025 is the product NDC for Gum Detoxify (stannous fluoride), Stannous fluoride .14 g/100g paste, dentifrice, listed with the FDA by Walmart. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Gum Detoxify (Stannous fluoride).
- What is the active ingredient?
- Stannous fluoride.
- Who is the labeler?
- Walmart, NDC labeler code 79903. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Gum Detoxify?
- 4 other product NDCs are listed under this name. See all Gum Detoxify NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Gum Detoxify products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Gum Detoxifystannous fluoride | Stannous fluoride .15 g/100g | Paste, DentifriceDental | Walmart | 49035-174 | 49035-0174-10 |
| Gum Detoxifystannous fluoride | Stannous fluoride .14 g/100g | Gel, DentifriceOral | Meijer, Inc. | 79481-0121 | 79481-0121-09 |
| Gum Detoxifystannous fluoride | Stannous fluoride .14 g/100g | Paste, DentifriceDental | Rite Aid | 11822-5006 | 11822-5006-09 |
| Gum Detoxifystannous fluoride | Stannous fluoride .14 g/100g | Paste, DentifriceDental | CVS | 69842-948 | 69842-0948-89 |
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 |
|---|---|---|---|---|
| Auraglow Whiteningsodium fluoride | Sodium fluoride 2.3 mg/g | Paste, DentifriceDental | Auraglow LLC | 81740-003 |
| Crayola ANTICAVITY STRAWBERRY FLAVORsodium fluoride | Sodium fluoride .243 g/100g | Paste, DentifriceDental | Ashtel Studios, Inc. | 70108-080 |
| Made by Dentists For Kids Eyeball Juice (Watermelon)sodium fluoride | Sodium fluoride 1.5 mg/g | PasteDental | MADE BY DENTISTS INC | 75065-030 |
| White Glo Advantage Anticavity Professional Whiteningsodium monofluorophosphate | Sodium monofluorophosphate 7.6 mg/g | PasteTopical | WHITE GLO USA INC | 73656-027 |
| AutoBrush Mintsodium fluoride | Sodium fluoride .243 g/100mL | LiquidOral | Lander Enterprises, LLC | 82913-011 |
| Hello Unicorn Splashsodium fluoride | Sodium fluoride .02 g/100mL | MouthwashDental | Accupac LLC | 44038-0687 |
| Crest 3D White Stain Eraser Icy Clean Mintsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceOral | The Procter & Gamble Manufacturing Company | 69423-773 |
| White Glo Professional Choice Twin Packsodium fluoride | — | Kit | WHITE GLO USA INC | 73656-024 |
| Therabreath Healthy Gumsstannous fluoride | Stannous fluoride .454 g/100g | Paste, DentifriceOral | Church & Dwight Co., Inc. | 10237-271 |
| Crest 3D White Vibrant Mintsodium fluoride | Sodium fluoride 1.5 mg/g | Paste, DentifriceOral | The Procter & Gamble Manufacturing Company | 69423-774 |
| Complete Protectionstannous fluoride | Stannous fluoride .15 g/100g | Paste, DentifriceDental, Oral | Target | 11673-366 |
| Anticavitysodium fluoride | Sodium fluoride .1 mg/mL | RinseOral | H E B | 37808-119 |
| Listerine Total Care Alcohol Free Anticavity Fluoride Mouthwash Fresh Mintsodium fluoride | Sodium fluoride .1 mg/mL | MouthwashOral | Kenvue Brands LLC | 69968-0924 |
| White Glo Advantage Anticavity Fluoride Purplesodium monofluorophosphate | Sodium monofluorophosphate 7.6 mg/g | PasteTopical | WHITE GLO USA INC | 73656-026 |
| Hismilesodium fluoride | Sodium fluoride .243 g/100g | GelDental | HISMILE PTY LTD | 83013-321 |
| Delta Comfort Plus Amenitysodium monofluorophosphate | — | Kit | Buzz Products Inc. | 69491-043 |
| Hismilebanana flavor sodium fluoride anticavity toothpaste | Sodium fluoride 2.4 mg/g | GelDental | Hismile Pty Ltd | 83013-319 |
| TP OW Stainfighter Clean Mintsodium fluoride | Sodium fluoride 1.1 mg/g | Paste, DentifriceDental | Colgate-Palmolive Company | 35000-999 |
| Sodium Fluoride | Sodium fluoride 2.43 mg/g | Paste, DentifriceDental | Safco Dental Supply LLC | 67239-0226 |
| Delta Travel Kit Comfort plussodium monofluorophosphate | — | Kit | Buzz Products Inc. | 69491-039 |
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