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  5. NDC Package Code: 69842-515-43 Antiseptic Mouth Sore

NDC Package 69842-515-43 Antiseptic Mouth Sore

Hydrogen Peroxide,Menthol Rinse Periodontal - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
69842-515-43
Package Description:
473 mL in 1 BOTTLE
Product Code:
69842-515
Proprietary Name:
Antiseptic Mouth Sore
Non-Proprietary Name:
Hydrogen Peroxide, Menthol
Substance Name:
Hydrogen Peroxide; Menthol, Unspecified Form
Usage Information:
Adults and children 2 years and older•Swish one-half capful (2 teaspoons=10mL) around the mouth over the affected area for at least 1 minute and then spit out. Use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor. Do not swallow.•Children under 12 years of age should be supervised in the use of this product.Children under 2 years of age: Consult a dentist or doctor.
11-Digit NDC Billing Format:
69842051543
NDC to RxNorm Crosswalk:
  • RxCUI: 2584344 - hydrogen peroxide 1.5 % / menthol 0.1 % Mucous Membrane Topical Solution
  • RxCUI: 2584344 - hydrogen peroxide 15 MG/ML / menthol 1 MG/ML Mucous Membrane Topical Solution
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Cvs Pharmacy
    Dosage Form:
    Rinse - A liquid used to cleanse by flushing.
    Administration Route(s):
  • Periodontal - Administration around a tooth.
    • Active Ingredient(s):
  • HYDROGEN PEROXIDE 15 mg/mL
  • MENTHOL, UNSPECIFIED FORM 1 mg/mL
    • Sample Package:
    No
    FDA Application Number:
    part356
    Marketing Category:
    OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
    Start Marketing Date:
    06-18-2021
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 69842-515-43?

    The NDC Packaged Code 69842-515-43 is assigned to a package of 473 ml in 1 bottle of Antiseptic Mouth Sore, a human over the counter drug labeled by Cvs Pharmacy. The product's dosage form is rinse and is administered via periodontal form.

    Is NDC 69842-515 included in the NDC Directory?

    Yes, Antiseptic Mouth Sore with product code 69842-515 is active and included in the NDC Directory. The product was first marketed by Cvs Pharmacy on June 18, 2021 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 69842-515-43?

    The 11-digit format is 69842051543. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-269842-515-435-4-269842-0515-43