Antiseptic Liquid
NDC Package 66715-6861-4

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

Package Information

Antiseptic (eucalyptol, menthol, unspecified form, methyl salicylate, and thymol) liquids is adults and children 12 years of age and oldervigorously swish 20 milliliters of rinse between teeth twice a day for 30 seconds then spit out. This formulation utilizes a liquid delivery system. Marketed by Lil' Drug Store Products, Inc, this product is identified by NDC 66715-6861 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
66715-6861-4
Package Description
250 mL in 1 BOTTLE
Product Code
66715-6861
11-Digit Billing Format
66715686104
RxNorm Crosswalk
  • RxCUI: 1043619 - eucalyptol 0.092 % / menthol 0.042 % / methyl salicylate 0.06 % / thymol 0.064 % Mouthwash
  • RxCUI: 1043619 - eucalyptol 0.92 MG/ML / menthol 0.42 MG/ML / methyl salicylate 0.6 MG/ML / thymol 0.64 MG/ML Mouthwash

Clinical Specifications

Proprietary Name
Antiseptic Lil Drug Store Products
Non-Proprietary Name
Eucalyptol, Menthol, Unspecified Form, Methyl Salicylate, And Thymol
Substance Name
Eucalyptol; Menthol, Unspecified Form; Methyl Salicylate; Thymol
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
Adults and children 12 years of age and oldervigorously swish 20 milliliters of rinse between teeth twice a day for 30 seconds then spit out. Do not swallow the rinse.children 6 to 12 years of agesupervise usechildren under 6 years of agedo not use

Regulatory & Marketing

Labeler Name
Lil' Drug Store Products, Inc
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-01-2014
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 66715-6861-4 identifies a specific commercial package of 250 ml in 1 bottle of Antiseptic Lil Drug Store Products, a human over the counter drug labeled by Lil' Drug Store Products, Inc. This liquid is formulated for oral use and contains eucalyptol; menthol, unspecified form; methyl salicylate; thymol 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 Lil' Drug Store Products, Inc on December 01, 2014. The current certification is valid through December 31, 2026.

How is this Lil' Drug Store Products, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66715686104. 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)
66715-6861-4
11-Digit CMS (5-4-2)
66715-6861-04

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