Quip Anticavity Fluoride Mouthwash
NDC Package 69261-005-04

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

Quip Anticavity Fluoride (sodium fluoride) mouthwashes is useAids in prevention of dental cavities. This formulation utilizes a mouthwash delivery system. Marketed by Quip Nyc Inc., this product is identified by NDC 69261-005 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
69261-005-04
Package Description
1 BOTTLE in 1 CARTON / 117.5 mL in 1 BOTTLE
Product Code
69261-005
11-Digit Billing Format
69261000504
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Quip Anticavity Fluoride Concentrate
Non-Proprietary Name
Sodium Fluoride
Substance Name
Sodium Fluoride
Dosage Form
Mouthwash - An aqueous solution which is most often used for its deodorant, refreshing, or antiseptic effect.
Administration Route
Dental - Administration to a tooth or teeth.
Active Ingredient(s)
SODIUM FLUORIDE .05 g/100mL
Usage Information
UseAids in prevention of dental cavities

Regulatory & Marketing

Labeler Name
Quip Nyc Inc.
Product Type
Human Otc Drug
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-25-2021
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 (69261-005). Click a package code to view its specific billing and regulatory data.

69261-005-03
117.5 mL in 1 BOTTLE
69261-005-05
1 BOTTLE in 1 PACKAGE / 117.5 mL in 1 BOTTLE

* 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 69261-005-04 identifies a specific commercial package of 1 bottle in 1 carton / 117.5 ml in 1 bottle of Quip Anticavity Fluoride Concentrate, a human over the counter drug labeled by Quip Nyc Inc.. This mouthwash is formulated for dental use and contains sodium fluoride 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 Quip Nyc Inc. on January 25, 2021. The current certification is valid through December 31, 2026.

How is this Quip Nyc Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69261000504. 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)
69261-005-04
11-Digit CMS (5-4-2)
69261-0005-04

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