Peridex Rinse
NDC Package 48878-0620-2

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

Peridex (chlorhexidine gluconate) rinses is a medication used along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums. This formulation utilizes a rinse delivery system. Marketed by Solventum Us Llc, this product is identified by NDC 48878-0620 and is authorized under FDA application NDA019028.

Identification & Billing

NDC Package Code
48878-0620-2
Package Description
1893 mL in 1 BOTTLE, DISPENSING
Product Code
48878-0620
11-Digit Billing Format
48878062002
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
1893 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Peridex
Non-Proprietary Name
Chlorhexidine Gluconate
Substance Name
Chlorhexidine Gluconate
Dosage Form
Rinse - A liquid used to cleanse by flushing.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
CHLORHEXIDINE GLUCONATE 1.2 mg/mL
Pharmacologic Class
Decreased Cell Wall Integrity - [PE] (Physiologic Effect)
Usage Information
This medication is used along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums. Chlorhexidine belongs to a class of drugs known as antimicrobials. It works by decreasing the amount of bacteria in the mouth, helping to reduce swelling and redness of the gums and bleeding when you brush.

Regulatory & Marketing

Labeler Name
Solventum Us Llc
Product Type
Human Prescription Drug
FDA Application #
NDA019028
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
08-13-1986
Listing Expiration
12-31-2026
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 (48878-0620). Click a package code to view its specific billing and regulatory data.

48878-0620-1
473 mL in 1 BOTTLE
48878-0620-3
118 mL in 1 BOTTLE

* 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 48878-0620-2 identifies a specific commercial package of 1893 ml in 1 bottle, dispensing of Peridex, a human prescription drug labeled by Solventum Us Llc. This product is billed per "ML" milliliter and contains an estimated amount of 1893 billable units per package. This rinse is formulated for oral use and contains chlorhexidine gluconate 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 Solventum Us Llc on August 13, 1986. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is used along with regular tooth brushing/flossing to treat gingivitis, a gum disease that causes red, swollen, and easily bleeding gums. Chlorhexidine belongs to a class of drugs known as antimicrobials. It works by decreasing the amount of bacteria in the mouth, helping to reduce swelling and redness of the gums and bleeding when you brush.

How is this Solventum Us Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 48878062002. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 1893 total billable units per package. 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)
48878-0620-2
11-Digit CMS (5-4-2)
48878-0620-02

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