Eversmile Orthofoam Anticavity Liquid
NDC Package 72655-600-01

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

Package Information

Eversmile Orthofoam Anticavity (0.05% sodium fluoride rinse) liquids is to Brush:•Dispense 1-2 pumps of foam onto a toothbrush. This formulation utilizes a liquid delivery system. Marketed by Everbrands, Inc., this product is identified by NDC 72655-600 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
72655-600-01
Package Description
1 BOTTLE, PUMP in 1 BOX / 50 mL in 1 BOTTLE, PUMP
Product Code
72655-600
11-Digit Billing Format
72655060001
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Eversmile Orthofoam Anticavity
Non-Proprietary Name
0.05% Sodium Fluoride Rinse
Substance Name
Sodium Fluoride
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
Dental - Administration to a tooth or teeth.
Active Ingredient(s)
SODIUM FLUORIDE .05 g/100mL
Usage Information
To Brush:•Dispense 1-2 pumps of foam onto a toothbrush. Brush teeththoroughly, preferably after each meal or at least twice a day,or as directed by a dentist or physicianEverSmile Traybrush application:•Adults and children 12 yrs. of age and older:•Dispense 1-2 pumps of foam onto each side of the TrayBrush.•Insert the foam-filled Traybrush into your mouth. Gently biteup and down, and move the handle side to side for approximately 2 minutes to clean.•If needed, remove the TrayBrush to spit outexcess foam- do not swallow, then reinsertit immediately.•Option: after brushing keep the TrayBrush incontact with your teeth for up to 5 minutesto enhance the therapeutic benefits.•Use daily or as directed by your dentist.•Children under 12 years of age: consult a dentist or doctor

Regulatory & Marketing

Labeler Name
Everbrands, Inc.
Product Type
Human Otc Drug
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-10-2026
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 72655-600-01 identifies a specific commercial package of 1 bottle, pump in 1 box / 50 ml in 1 bottle, pump of Eversmile Orthofoam Anticavity, a human over the counter drug labeled by Everbrands, Inc.. This liquid is formulated for dental use and contains sodium fluoride 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 Everbrands, Inc. on April 10, 2026. The current certification is valid through December 31, 2027.

How is this Everbrands, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72655060001. 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)
72655-600-01
11-Digit CMS (5-4-2)
72655-0600-01

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