NDC Package 42507-210-86 Antiseptic Mouth Rinse

View Billable Units, 11-Digit Format, RxNorm

Package Information

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

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
42507-210-86
Package Description:
1 L in 1 BOTTLE, PLASTIC
Product Code:
Proprietary Name:
Antiseptic Mouth Rinse
Usage Information:
Use helps control plaque that leads to gingivitis
11-Digit NDC Billing Format:
42507021086
NDC to RxNorm Crosswalk:
  • RxCUI: 1043619 - eucalyptol 0.092 % / menthol 0.042 % / methyl salicylate 0.06 % / thymol 0.064 % Mouthwash
  • RxCUI: 1043619 - eucalyptol 0.92 MG/ML / menthol 0.42 MG/ML / methyl salicylate 0.6 MG/ML / thymol 0.64 MG/ML Mouthwash
  • Labeler Name:
    Hy-vee, Inc
    Sample Package:
    No
    Start Marketing Date:
    07-22-2010
    Listing Expiration Date:
    12-31-2018
    Exclude Flag:
    I
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    42507-210-121.5 L in 1 BOTTLE, PLASTIC

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 42507-210-86?

    The NDC Packaged Code 42507-210-86 is assigned to a package of 1 l in 1 bottle, plastic of Antiseptic Mouth Rinse, labeled by Hy-vee, Inc. The product's dosage form is and is administered via form.

    Is NDC 42507-210 included in the NDC Directory?

    No, Antiseptic Mouth Rinse with product code 42507-210 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Hy-vee, Inc on July 22, 2010 and its listing in the NDC Directory is set to expire on December 31, 2018 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 42507-210-86?

    The 11-digit format is 42507021086. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-242507-210-865-4-242507-0210-86