Act Anticavity Fluoride Kids Bubblegum Rinse
NDC Package 41167-0944-2

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

Package Information

Act Anticavity Fluoride Kids Bubblegum (sodium fluoride) rinses is adults and children 6 years of age and older: use once a day after brushing your teeth with a toothpasteremove caphold bottle upright and squeeze. This formulation utilizes a rinse delivery system. Marketed by Chattem, Inc., this product is identified by NDC 41167-0944 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
41167-0944-2
Package Description
3 BOTTLE, DISPENSING in 1 CELLO PACK / 500 mL in 1 BOTTLE, DISPENSING (41167-0944-8)
Product Code
41167-0944
11-Digit Billing Format
41167094402
RxNorm Crosswalk
  • RxCUI: 240698 - sodium fluoride 0.05 % (fluoride ion 0.02 % ) Oral Rinse
  • RxCUI: 240698 - sodium fluoride 0.5 MG/ML Mouthwash
  • RxCUI: 656809 - ACT 0.05 % (fluoride ion 0.02 % ) Mouthwash
  • RxCUI: 656809 - sodium fluoride 0.5 MG/ML Mouthwash [ACT Fluoride Rinse]
  • RxCUI: 656809 - ACT Fluoride Rinse 0.05 % (as fluoride ion 0.02 % ) Mouthwash

Clinical Specifications

Proprietary Name
Act Anticavity Fluoride Kids Bubblegum
Non-Proprietary Name
Sodium Fluoride
Substance Name
Sodium Fluoride
Dosage Form
Rinse - A liquid used to cleanse by flushing.
Administration Route
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)
SODIUM FLUORIDE .2 mg/mL
Usage Information
Adults and children 6 years of age and older: use once a day after brushing your teeth with a toothpasteremove caphold bottle upright and squeeze. Fill to FILL LINEpour out. Only the correct 10 milliliters dose will pour out.vigorously swish 10 milliliters of rinse between your teeth for 1 minute and then spit outdo not swallow the rinsedo not eat or drink for 30 minutes after rinsinginstruct children under 12 years of age in good rinsing habits (to minimize swallowing)supervise children as necessary until capable of using without supervisionchildren under 6 years of age: consult a dentist or doctor

Regulatory & Marketing

Labeler Name
Chattem, Inc.
Product Type
Human Otc Drug
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-1993
Listing Expiration
12-31-2027
Exclude Flag
N
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (41167-0944). Click a package code to view its specific billing and regulatory data.

41167-0944-1
30 mL in 1 BOTTLE, PLASTIC
41167-0944-3
88 mL in 1 BOTTLE, PLASTIC

* 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 41167-0944-2 identifies a specific commercial package of 3 bottle, dispensing in 1 cello pack / 500 ml in 1 bottle, dispensing (41167-0944-8) of Act Anticavity Fluoride Kids Bubblegum, a human over the counter drug labeled by Chattem, Inc.. This rinse is formulated for topical use and contains sodium fluoride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Chattem, Inc. on February 01, 1993. The current certification is valid through December 31, 2027.

How is this Chattem, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 41167094402. 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)
41167-0944-2
11-Digit CMS (5-4-2)
41167-0944-02

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