Laura Lynn Anticavity Whitening Plus Mouthwash
NDC Package 62936-0042-5

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 inactivated by the FDA.

Laura Lynn Anticavity Whitening Plus Mouthwash is adults and children         Brush teeth thoroughly, preferably after2 years and older            each meal, or at least twice a day, or as                                         directed by your dentist.  Do not swallow.Children under                 To minimize swallowing, use a pea-6 years of age                 sized amount and supervise brushing                                          until good habits are established.Children under 2 years  Ask a dentist or physician. Marketed by Ingles Market Inc, this product is identified by NDC 62936-0042 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
62936-0042-5
Package Description
181.4 g in 1 TUBE
Product Code
62936-0042
11-Digit Billing Format
62936004205
RxNorm Crosswalk
  • RxCUI: 891775 - sodium fluoride 0.243 % Toothpaste
  • RxCUI: 891775 - sodium fluoride 0.00243 MG/MG Toothpaste
  • RxCUI: 891775 - sodium fluoride 0.243 % (fluoride ion 0.13 % ) Toothpaste
  • RxCUI: 891775 - sodium fluoride 0.243 % (fluoride ion 0.14 % ) Toothpaste
  • RxCUI: 891775 - sodium fluoride 0.243 % (fluoride ion 0.15 % ) Toothpaste

Clinical Specifications

Proprietary Name
Laura Lynn Anticavity Whitening Plus Mouthwash
Dosage Form
-
Usage Information
Adults and children         Brush teeth thoroughly, preferably after2 years and older            each meal, or at least twice a day, or as                                         directed by your dentist.  Do not swallow.Children under                 To minimize swallowing, use a pea-6 years of age                 sized amount and supervise brushing                                          until good habits are established.Children under 2 years  Ask a dentist or physician.

Regulatory & Marketing

Labeler Name
Ingles Market Inc
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
08-29-2003
Listing Expiration
12-31-2017
Exclude Flag
I
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 62936-0042-5 identifies a specific commercial package of 181.4 g in 1 tube of Laura Lynn Anticavity Whitening Plus Mouthwash, labeled by Ingles Market 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 Ingles Market Inc on August 29, 2003. The current certification is valid through December 31, 2017.

How is this Ingles Market Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 62936004205. 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 (5-4-1)
62936-0042-5
11-Digit CMS (5-4-2)
62936-0042-05

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