Prevention Mouth Sore Rinse Liquid
NDC Package 69951-004-16

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

Package Information

Prevention Mouth Sore Rinse (hydrogen peroxide) liquids is usesAids in the removal of phlegm, mucus or other secretions associated with occasional sore mouth.For temporary use in cleansing minor wounds or minor gum inflammation resulting from minor dental procedures, dentures, orthodontic appliances, accidental injury, or other irritations of the mouth and gums.For temporary use to cleanse canker sores. This formulation utilizes a liquid delivery system. Marketed by Prevention Health Sciences, Inc., this product is identified by NDC 69951-004 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
69951-004-16
Package Description
473 mL in 1 BOTTLE, PLASTIC
Product Code
69951-004
11-Digit Billing Format
69951000416
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Prevention Mouth Sore Rinse
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
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
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
HYDROGEN PEROXIDE 1.4 g/100mL
Usage Information
UsesAids in the removal of phlegm, mucus or other secretions associated with occasional sore mouth.For temporary use in cleansing minor wounds or minor gum inflammation resulting from minor dental procedures, dentures, orthodontic appliances, accidental injury, or other irritations of the mouth and gums.For temporary use to cleanse canker sores.

Regulatory & Marketing

Labeler Name
Prevention Health Sciences, Inc.
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-01-2023
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 69951-004-16 identifies a specific commercial package of 473 ml in 1 bottle, plastic of Prevention Mouth Sore Rinse, a human over the counter drug labeled by Prevention Health Sciences, Inc.. This liquid is formulated for topical use and contains hydrogen peroxide 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 Prevention Health Sciences, Inc. on October 01, 2023. The current certification is valid through December 31, 2026.

How is this Prevention Health Sciences, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69951000416. 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)
69951-004-16
11-Digit CMS (5-4-2)
69951-0004-16

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