Scotts Select Apf Foam Fluoride
NDC Package 69638-068-04

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.

Scotts Select Apf Foam Fluoride is remove cap from can. Marketed by Scotts Dental Supply Llc, this product is identified by NDC 69638-068.

Identification & Billing

NDC Package Code
69638-068-04
Package Description
130 mL in 1 BOTTLE
Product Code
69638-068
11-Digit Billing Format
69638006804
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Scotts Select Apf Foam Fluoride
Dosage Form
-
Usage Information
Remove cap from can. Prior to each use, shake can thoroughly for at least 15 seconds.To dispense, invert the can completely upside down. Slowly depress nozzle to dispense foam into a fluoride tray (foam will expand slightly higher than fluoride tray).Air dry teeth thoroughly and insert tray(s) into patient's mouth. Instruct patient to bite down and leave the tray in contact with the teeth between 1 - 4 minutes.Use a saliva ejector during treatment to minimize ingestion of product.Remove tray(s) and have patient expectorate.Instruct patient not to eat, drink or rinse for 30 minutes after treatment.

Regulatory & Marketing

Labeler Name
Scotts Dental Supply Llc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-22-2013
Listing Expiration
12-31-2021
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 69638-068-04 identifies a specific commercial package of 130 ml in 1 bottle of Scotts Select Apf Foam Fluoride, labeled by Scotts Dental Supply Llc. 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 Scotts Dental Supply Llc on April 22, 2013. The current certification is valid through December 31, 2021.

How is this Scotts Dental Supply Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69638006804. 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)
69638-068-04
11-Digit CMS (5-4-2)
69638-0068-04

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