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  5. NDC Package Code: 0404-0174-04 Acclean Anti-cavity Sensitivity Relief

NDC Package 0404-0174-04 Acclean Anti-cavity Sensitivity Relief

Potassium Nitrate,Sodium Fluoride Paste, Dentifrice Topical - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0404-0174-04
Package Description:
1 TUBE in 1 CARTON / 113.4 g in 1 TUBE
Product Code:
0404-0174
Proprietary Name:
Acclean Anti-cavity Sensitivity Relief
Non-Proprietary Name:
Potassium Nitrate, Sodium Fluoride
Substance Name:
Potassium Nitrate; Sodium Fluoride
Usage Information:
Acclean Prescription Strength Anti-Cavity Toothpaste for Sensitivity Relief is indicated for use as part of a professional program for the prevention and control of dental caries.
11-Digit NDC Billing Format:
00404017404
NDC to RxNorm Crosswalk:
  • RxCUI: 637365 - potassium nitrate 5 % / sodium fluoride 1.1 % Toothpaste
  • RxCUI: 637365 - potassium nitrate 0.05 MG/MG / sodium fluoride 0.011 MG/MG Toothpaste
  • RxCUI: 637365 - K+ nitrate 0.05 MG/MG / Sodium Fluoride 0.011 MG/MG Toothpaste
  • RxCUI: 637365 - Pot nitrate 0.05 MG/MG / Sodium Fluoride 0.011 MG/MG Toothpaste
  • RxCUI: 637365 - potassium nitrate 5 % / sodium fluoride 1.1 % Gel Toothpaste
Product Type:
Human Prescription Drug
Labeler Name:
Henry Schein, Inc.
Dosage Form:
Paste, Dentifrice - A paste formulation intended to clean and/or polish the teeth, and which may contain certain additional agents.
Administration Route(s):
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s):
Sample Package:
No
Marketing Category:
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date:
01-30-2025
Listing Expiration Date:
12-31-2026
Exclude Flag:
N
Code Structure:

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0404-0174-04?

The NDC Packaged Code 0404-0174-04 is assigned to a package of 1 tube in 1 carton / 113.4 g in 1 tube of Acclean Anti-cavity Sensitivity Relief, a human prescription drug labeled by Henry Schein, Inc.. The product's dosage form is paste, dentifrice and is administered via topical form.

Is NDC 0404-0174 included in the NDC Directory?

Yes, Acclean Anti-cavity Sensitivity Relief with product code 0404-0174 is active and included in the NDC Directory. The product was first marketed by Henry Schein, Inc. on January 30, 2025 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 0404-0174-04?

The 11-digit format is 00404017404. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
4-4-20404-0174-045-4-200404-0174-04