Oral Sore Antiseptic Liquid
NDC Package 72476-024-43

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

Package Information

Oral Sore Antiseptic (hydrogen peroxide, menthol) liquids is adults and children 2 years of age and older - swish two teaspoons (10 mL) around the mouth for at least 1 minute, then spit out; use up to 4 times daily or as directed by a dentist or physicianChildren under 12 years of age - should be supervised in the use of the productChildren under 2 years of age - consult a dentist or doctor. This formulation utilizes a liquid delivery system. Marketed by Retail Business Services, Llc, this product is identified by NDC 72476-024 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
72476-024-43
Package Description
473 mL in 1 BOTTLE, PLASTIC
Product Code
72476-024
11-Digit Billing Format
72476002443
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

Clinical Specifications

Proprietary Name
Oral Sore Antiseptic
Non-Proprietary Name
Hydrogen Peroxide, Menthol
Substance Name
Hydrogen Peroxide; Menthol
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
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
Adults and children 2 years of age and older - swish two teaspoons (10 mL) around the mouth for at least 1 minute, then spit out; use up to 4 times daily or as directed by a dentist or physicianChildren under 12 years of age - should be supervised in the use of the productChildren under 2 years of age - consult a dentist or doctor

Regulatory & Marketing

Labeler Name
Retail Business Services, Llc
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-13-2023
Listing Expiration
12-31-2027
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 72476-024-43 identifies a specific commercial package of 473 ml in 1 bottle, plastic of Oral Sore Antiseptic, a human over the counter drug labeled by Retail Business Services, Llc. This liquid is formulated for oral use and contains hydrogen peroxide; menthol 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 Retail Business Services, Llc on January 13, 2023. The current certification is valid through December 31, 2027.

How is this Retail Business Services, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72476002443. 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)
72476-024-43
11-Digit CMS (5-4-2)
72476-0024-43

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