Dental Clear Premium
NDC Package 24765-127-01

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.

Dental Clear Premium is rinse mouth with this Dental Clear Premium about 10~15ml for 30 seconds then expelAverage daily dose Use twice a day after brushing, meals, and before social occasions. Marketed by Pharmacal-international. Co., Ltd., this product is identified by NDC 24765-127.

Identification & Billing

NDC Package Code
24765-127-01
Package Description
11 mL in 1 POUCH
Product Code
24765-127
11-Digit Billing Format
24765012701
RxNorm Crosswalk
  • RxCUI: 313029 - sodium fluoride 0.02 % (fluoride ion 0.01 % ) Oral Rinse
  • RxCUI: 313029 - sodium fluoride 0.2 MG/ML Mouthwash
  • RxCUI: 313029 - sodium fluoride 0.02 % (fluoride ion 0.009 % ) Oral Rinse

Clinical Specifications

Proprietary Name
Dental Clear Premium
Dosage Form
-
Usage Information
Rinse mouth with this Dental Clear Premium about 10~15ml for 30 seconds then expelAverage daily dose Use twice a day after brushing, meals, and before social occasions.

Regulatory & Marketing

Labeler Name
Pharmacal-international. Co., Ltd.
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
03-14-2020
Listing Expiration
12-31-2025
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 24765-127-01 identifies a specific commercial package of 11 ml in 1 pouch of Dental Clear Premium, labeled by Pharmacal-international. Co., 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 Pharmacal-international. Co., Ltd. on March 14, 2020. The current certification is valid through December 31, 2025.

How is this Pharmacal-international. Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 24765012701. 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 (5-3-2)
24765-127-01
11-Digit CMS (5-4-2)
24765-0127-01

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