Cvs Health Clinical White Stain Protector Paste, Dentifrice
NDC Package 51316-205-10

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

Package Information

Cvs Health Clinical White Stain Protector (sodium fluoride) pastes is usesbuilds incrasing protection against painful sensitivity of the teeth to cold, heat, acids, sweets or contactaids in the prevention of dental cavities water, sorbitol, hydrated silica, glycerin, pentasodium triphosphate, peg-8, sodium lauryl sulfate, flavor, titanium dioxide, xanthan gum, cocamidorpopyl betaine, sodium hydroxide, carrageenan, sodium saccharin. This formulation utilizes a paste, dentifrice delivery system. Marketed by Cvs Pharmacy, this product is identified by NDC 51316-205 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
51316-205-10
Package Description
1 TUBE in 1 CARTON / 96.4 g in 1 TUBE
Product Code
51316-205
11-Digit Billing Format
51316020510
RxNorm Crosswalk
  • RxCUI: 1086243 - potassium nitrate 5 % / sodium fluoride 0.25 % Toothpaste
  • RxCUI: 1086243 - potassium nitrate 0.05 MG/MG / sodium fluoride 0.0025 MG/MG Toothpaste
  • RxCUI: 1086243 - K+ nitrate 0.05 MG/MG / Sodium Fluoride 0.0025 MG/MG Toothpaste
  • RxCUI: 1086243 - Pot nitrate 0.05 MG/MG / Sodium Fluoride 0.0025 MG/MG Toothpaste

Clinical Specifications

Proprietary Name
Cvs Health Clinical White Stain Protector
Non-Proprietary Name
Sodium Fluoride
Substance Name
Potassium Nitrate; Sodium Fluoride
Dosage Form
Paste, Dentifrice - A paste formulation intended to clean and/or polish the teeth, and which may contain certain additional agents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
Usesbuilds incrasing protection against painful sensitivity of the teeth to cold, heat, acids, sweets or contactaids in the prevention of dental cavities water, sorbitol, hydrated silica, glycerin, pentasodium triphosphate, peg-8, sodium lauryl sulfate, flavor, titanium dioxide, xanthan gum, cocamidorpopyl betaine, sodium hydroxide, carrageenan, sodium saccharin

Regulatory & Marketing

Labeler Name
Cvs Pharmacy
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-08-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 51316-205-10 identifies a specific commercial package of 1 tube in 1 carton / 96.4 g in 1 tube of Cvs Health Clinical White Stain Protector, a human over the counter drug labeled by Cvs Pharmacy. This paste, dentifrice is formulated for oral use and contains potassium nitrate; 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 Cvs Pharmacy on January 08, 2026. The current certification is valid through December 31, 2027.

How is this Cvs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51316020510. 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)
51316-205-10
11-Digit CMS (5-4-2)
51316-0205-10

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