Flor-opal Sustained-release Fluoride
NDC Package 51206-402-01

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 discontinued by the firm.

Flor-opal Sustained-release Fluoride is a . Marketed by Ultradent Products, Inc, this product is identified by NDC 51206-402.

Identification & Billing

NDC Package Code
51206-402-01
Package Description
10 TRAY in 1 BOX / 1.87 mL in 1 TRAY
Product Code
51206-402
11-Digit Billing Format
51206040201

Clinical Specifications

Proprietary Name
Flor-opal Sustained-release Fluoride
Dosage Form
-

Regulatory & Marketing

Labeler Name
Ultradent Products, Inc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
03-01-2005
End Marketing Date
12-10-2014
Listing Expiration
12-10-2014
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 51206-402-01 identifies a specific commercial package of 10 tray in 1 box / 1.87 ml in 1 tray of Flor-opal Sustained-release Fluoride, labeled by Ultradent Products, Inc. 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 Ultradent Products, Inc on March 01, 2005. The current certification is valid through December 10, 2014.

How is this Ultradent Products, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51206040201. 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)
51206-402-01
11-Digit CMS (5-4-2)
51206-0402-01

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