Scotts Select Perio Rinse Stannous Fluoride
NDC Package 69638-069-10

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 Perio Rinse Stannous Fluoride is do not use before mixing with water.Adults and children 6 year of age and older:Use once a day after brushing your teeth with a toothpaste.Remove cap and replace with pump.Rotate spout counter clockwise to extend.Depress pump until rinse comes to the tip of the pump.Pump 1/8 fl. Marketed by Scott's Dental Supply Llc, this product is identified by NDC 69638-069 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
69638-069-10
Package Description
296 mL in 1 BOTTLE
Product Code
69638-069
11-Digit Billing Format
69638006910
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Scotts Select Perio Rinse Stannous Fluoride
Dosage Form
-
Usage Information
Do not use before mixing with water.Adults and children 6 year of age and older:Use once a day after brushing your teeth with a toothpaste.Remove cap and replace with pump.Rotate spout counter clockwise to extend.Depress pump until rinse comes to the tip of the pump.Pump 1/8 fl. oz. into a cup. Add water to line (1 fl. oz.) on cup. Mix using bristle end of toothbrush.Vigorously swish rinse between your teeth. for 1 min. and then spit out.Do not swallow the rinse.Do not eat or drink for 30 min. after rinsing.Instruct children under 12 in good rinsing habits to minimize swallowing. Supervise children as necessary until capable of using without supervision.Children under 6: Consult a dentist or doctor.

Regulatory & Marketing

Labeler Name
Scott's Dental Supply Llc
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
08-02-2015
Listing Expiration
12-31-2024
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 69638-069-10 identifies a specific commercial package of 296 ml in 1 bottle of Scotts Select Perio Rinse Stannous Fluoride, labeled by Scott's 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 Scott's Dental Supply Llc on August 02, 2015. The current certification is valid through December 31, 2024.

How is this Scott's Dental Supply Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69638006910. 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)
69638-069-10
11-Digit CMS (5-4-2)
69638-0069-10

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