Perox-a-mint Solution Mouthwash
NDC Package 53462-075-40

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

Perox-a-mint Solution (hydrogen peroxide) mouthwashes is use up to 4 times daily or as directed by a dentist or doctor.Adults and children 3 years and over: rinse mouth for approx. This formulation utilizes a mouthwash delivery system. Marketed by Sage Products, Llc, this product is identified by NDC 53462-075 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
53462-075-40
Package Description
237 mL in 1 BOTTLE, PLASTIC
Product Code
53462-075
11-Digit Billing Format
53462007540
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
237 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Perox-a-mint Solution
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
Dosage Form
Mouthwash - An aqueous solution which is most often used for its deodorant, refreshing, or antiseptic effect.
Administration Route
Buccal - Administration directed toward the cheek, generally from within the mouth.
Active Ingredient(s)
HYDROGEN PEROXIDE 15 mg/mL
Usage Information
Use up to 4 times daily or as directed by a dentist or doctor.Adults and children 3 years and over: rinse mouth for approx. one minute with 1/2 Tbsp. Instruct to expectorate.Children under 12 years of age:  supervise use.Children under 3 years of age:  consult a dentist or doctor.

Regulatory & Marketing

Labeler Name
Sage Products, Llc
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-21-1998
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 (53462-075). Click a package code to view its specific billing and regulatory data.

53462-075-30
44 mL in 1 BOTTLE, PLASTIC
53462-075-60
7 mL in 1 PACKET

* 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 53462-075-40 identifies a specific commercial package of 237 ml in 1 bottle, plastic of Perox-a-mint Solution, a human over the counter drug labeled by Sage Products, Llc. This product is billed per "ML" milliliter and contains an estimated amount of 237 billable units per package. This mouthwash is formulated for buccal use and contains hydrogen peroxide 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 Sage Products, Llc on May 21, 1998. The current certification is valid through December 31, 2026.

How is this Sage Products, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53462007540. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 237 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 (5-3-2)
53462-075-40
11-Digit CMS (5-4-2)
53462-0075-40

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