Mastic Dent
NDC Package 15304-4085-1

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.

Mastic Dent is directions:Adults and children 12 of age and older - Vigorously swish 20mL (2.3 Fl. Marketed by Chia Gi Ltd, this product is identified by NDC 15304-4085 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
15304-4085-1
Package Description
400 mL in 1 BOTTLE, PLASTIC
Product Code
15304-4085
11-Digit Billing Format
15304408501
RxNorm Crosswalk
  • RxCUI: 1363759 - eucalyptol 0.092 % / menthol 0.042 % / sodium fluoride 0.025 % / thymol 0.064 % Mouthwash
  • RxCUI: 1363759 - eucalyptol 0.92 MG/ML / menthol 0.42 MG/ML / sodium fluoride 0.25 MG/ML / thymol 0.64 MG/ML Mouthwash

Clinical Specifications

Proprietary Name
Mastic Dent
Dosage Form
-
Usage Information
Directions:Adults and children 12 of age and older - Vigorously swish 20mL (2.3 Fl. Oz or 4 tea-spoonfuls) between teeth for 30 seconds then spit out, do not swallow.Children under 12 years of age - Consult a dentist or doctorThis rinse is not intended to replace brushing or flossing.

Regulatory & Marketing

Labeler Name
Chia Gi Ltd
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
11-22-2005
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 15304-4085-1 identifies a specific commercial package of 400 ml in 1 bottle, plastic of Mastic Dent, labeled by Chia Gi Ltd. 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 Chia Gi Ltd on November 22, 2005. The current certification is valid through December 31, 2017.

How is this Chia Gi Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 15304408501. 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)
15304-4085-1
11-Digit CMS (5-4-2)
15304-4085-01

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