Rite Aid Sensitive Toothpaste Extra Whitening
NDC Package 11822-0821-1

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Rite Aid Sensitive Toothpaste Extra Whitening is adults and children 12 years and older Brush teeth for at least one minute, preferably after each meal, or at least twice a day or as directed by your dentist. Marketed by Rite Aid, this product is identified by NDC 11822-0821 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
11822-0821-1
Package Description
113 g in 1 TUBE
Product Code
11822-0821
11-Digit Billing Format
11822082101
RxNorm Crosswalk
  • RxCUI: 1038800 - potassium nitrate 5 % / sodium fluoride 0.243 % (fluoride ion 0.14 % - 0.15 % ) Toothpaste
  • RxCUI: 1038800 - potassium nitrate 0.05 MG/MG / sodium fluoride 0.00243 MG/MG Toothpaste
  • RxCUI: 1038800 - K+ nitrate 0.05 MG/MG / Sodium Fluoride 0.00243 MG/MG Toothpaste
  • RxCUI: 1038800 - Pot nitrate 0.05 MG/MG / Sodium Fluoride 0.00243 MG/MG Toothpaste
  • RxCUI: 1038800 - potassium nitrate 5 % / sodium fluoride 0.243 % (fluoride ion 0.15 % ) Toothpaste

Clinical Specifications

Proprietary Name
Rite Aid Sensitive Toothpaste Extra Whitening
Dosage Form
-
Usage Information
Adults and children 12 years and older Brush teeth for at least one minute, preferably after each meal, or at least twice a day or as directed by your dentist. Be sure to brush sensitive areas. Children under 12 years of age Consult a dentist or doctor Other information Store in a cool, dry place.

Regulatory & Marketing

Labeler Name
Rite Aid
FDA Application #
part356
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
08-30-2010
Listing Expiration
12-31-2017
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 11822-0821-1 identifies a specific commercial package of 113 g in 1 tube of Rite Aid Sensitive Toothpaste Extra Whitening, labeled by Rite Aid. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Rite Aid on August 30, 2010. The current certification is valid through December 31, 2017.

How is this Rite Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822082101. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-4-1)
11822-0821-1
11-Digit CMS (5-4-2)
11822-0821-01

Note: The zero is added to the Package segment to maintain the 5-4-2 structure.