Dg 3x Medicated Toothache Adn Gum Gel
NDC Package 55910-816-69

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

Package Information

Dg 3x Medicated Toothache Adn Gum Gel (benzocaine) gel is for the temporary relief of oral pain due to minor irritation or injury of the mouth and gums. This formulation utilizes a gel delivery system. Marketed by Dollar General, this product is identified by NDC 55910-816 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
55910-816-69
Package Description
1 TUBE in 1 CARTON / 9.4 g in 1 TUBE
Product Code
55910-816
11-Digit Billing Format
55910081669
RxNorm Crosswalk
  • RxCUI: 2362013 - benzocaine 20 % / menthol 0.26 % / zinc chloride 0.15 % Oral Gel
  • RxCUI: 2362013 - benzocaine 0.2 MG/MG / menthol 0.0026 MG/MG / zinc chloride 0.0015 MG/MG Oral Gel

Clinical Specifications

Proprietary Name
Dg 3x Medicated Toothache Adn Gum Gel
Non-Proprietary Name
Benzocaine
Substance Name
Benzocaine; Menthol, Unspecified Form; Zinc Chloride
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
For the temporary relief of oral pain due to minor irritation or injury of the mouth and gums

Regulatory & Marketing

Labeler Name
Dollar General
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-28-2020
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 55910-816-69 identifies a specific commercial package of 1 tube in 1 carton / 9.4 g in 1 tube of Dg 3x Medicated Toothache Adn Gum Gel, a human over the counter drug labeled by Dollar General. This gel is formulated for oral use and contains benzocaine; menthol, unspecified form; zinc chloride 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 Dollar General on October 28, 2020. The current certification is valid through December 31, 2026.

How is this Dollar General product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910081669. 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)
55910-816-69
11-Digit CMS (5-4-2)
55910-0816-69

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