Pure Mouth Liquid
NDC Package 72875-0001-1

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.

Pure Mouth Liquid is use twice a day (morning and evening), use 10-15ml for one time, take your mouth for about 30 seconds Rinse and spit out. Marketed by On On Co., Ltd., this product is identified by NDC 72875-0001 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
72875-0001-1
Package Description
11 mL in 1 POUCH
Product Code
72875-0001
11-Digit Billing Format
72875000101

Clinical Specifications

Proprietary Name
Pure Mouth Liquid
Dosage Form
-
Usage Information
Use twice a day (morning and evening), use 10-15ml for one time, take your mouth for about 30 seconds Rinse and spit out

Regulatory & Marketing

Labeler Name
On On Co., Ltd.
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
02-10-2019
Listing Expiration
12-31-2020
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 72875-0001-1 identifies a specific commercial package of 11 ml in 1 pouch of Pure Mouth Liquid, labeled by On On Co., Ltd.. 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 On On Co., Ltd. on February 10, 2019. The current certification is valid through December 31, 2020.

How is this On On Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72875000101. 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 (5-4-1)
72875-0001-1
11-Digit CMS (5-4-2)
72875-0001-01

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