Alcohol-free Anticavity
NDC Package 37012-482-86

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Alcohol-free Anticavity is a . Marketed by Shopko Stores Operating., Llc, this product is identified by NDC 37012-482 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
37012-482-86
Package Description
1000 mL in 1 BOTTLE, PLASTIC
Product Code
11-Digit Billing Format
37012048286

Clinical Specifications

Proprietary Name
Alcohol-free Anticavity
Dosage Form
-

Regulatory & Marketing

Labeler Name
Shopko Stores Operating., Llc
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-15-1982
End Marketing Date
09-20-2019
Listing Expiration
09-20-2019
Exclude Flag
D
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 37012-482-86 identifies a specific commercial package of 1000 ml in 1 bottle, plastic of Alcohol-free Anticavity, labeled by Shopko Stores Operating., Llc. 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 Shopko Stores Operating., Llc on July 15, 1982. The current certification is valid through September 20, 2019.

How is this Shopko Stores Operating., Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 37012048286. 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)
37012-482-86
11-Digit CMS (5-4-2)
37012-0482-86

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