Salivacaine
NDC Package 70275-406-03

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.

Salivacaine is adults and children 2 years of age and older:Mix packet with 0.1oz water and apply the rinse to the affected area. Marketed by Forward Science Technologies Llc, this product is identified by NDC 70275-406 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
70275-406-03
Package Description
30 PACKET in 1 CARTON / 150 mg in 1 PACKET
Product Code
70275-406
11-Digit Billing Format
70275040603
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Salivacaine
Dosage Form
-
Usage Information
Adults and children 2 years of age and older:Mix packet with 0.1oz water and apply the rinse to the affected area. Gargle, swish around in the mouth, or allow to remain in place 1 minute then Spit Out. Use up to 4 times daily or as directed by a dentist or doctor. Children under 12 years of age should be supervised in the use of the product. Children under 2 years of age: do not use

Regulatory & Marketing

Labeler Name
Forward Science Technologies Llc
FDA Application #
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
02-24-2017
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 70275-406-03 identifies a specific commercial package of 30 packet in 1 carton / 150 mg in 1 packet of Salivacaine, labeled by Forward Science Technologies 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 Forward Science Technologies Llc on February 24, 2017. The current certification is valid through December 31, 2021.

How is this Forward Science Technologies Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 70275040603. 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)
70275-406-03
11-Digit CMS (5-4-2)
70275-0406-03

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