Rexall Travel Toothbrush And Tooth-paste Kit
NDC Package 55910-087-01

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

Package Information

Rexall Travel Toothbrush And Tooth-paste (sodium monofluorophosphate) kits is • Adults and children 2 years of age & older: brush teeth thoroughly after meals or at least twice a day or use as directed by a dentist.• Children 2 to 6 years: use only a pea-sized amount and supervise child's brushing and rinsing to minimize swallowing• Children under 2 years: ask a dentist or physician. This formulation utilizes a kit delivery system. Marketed by Old East Main Co., this product is identified by NDC 55910-087 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
55910-087-01
Package Description
1 KIT in 1 KIT * 24 g in 1 TUBE
Product Code
55910-087
11-Digit Billing Format
55910008701
RxNorm Crosswalk
  • RxCUI: 545626 - sodium monofluorophosphate 0.76 % Toothpaste
  • RxCUI: 545626 - sodium monofluorophosphate 0.0076 MG/MG Toothpaste
  • RxCUI: 545626 - sodium monofluorophosphate 0.76 % (fluoride ion 0.12 % )Toothpaste
  • RxCUI: 545626 - sodium monofluorophosphate 0.76 % (fluoride ion 0.13 % )Toothpaste
  • RxCUI: 545626 - sodium monofluorophosphate 0.76 % (fluoride ion 0.14 % )Toothpaste

Clinical Specifications

Proprietary Name
Rexall Travel Toothbrush And Tooth-paste
Non-Proprietary Name
Sodium Monofluorophosphate
Dosage Form
Kit - A packaged collection of related material.
Usage Information
• Adults and children 2 years of age & older: brush teeth thoroughly after meals or at least twice a day or use as directed by a dentist.• Children 2 to 6 years: use only a pea-sized amount and supervise child's brushing and rinsing to minimize swallowing• Children under 2 years: ask a dentist or physician.

Regulatory & Marketing

Labeler Name
Old East Main Co.
Product Type
Human Otc Drug
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-12-2022
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 55910-087-01 identifies a specific commercial package of 1 kit in 1 kit * 24 g in 1 tube of Rexall Travel Toothbrush And Tooth-paste, a human over the counter drug labeled by Old East Main Co.. This kit is formulated for use and contains 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 Old East Main Co. on October 12, 2022. The current certification is valid through December 31, 2026.

How is this Old East Main Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910008701. 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)
55910-087-01
11-Digit CMS (5-4-2)
55910-0087-01

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