Aqua Blue Mouthwash
NDC Package 73563-022-01

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.

Aqua Blue Mouthwash is do not swallownot intended to replace brushing or flossing.Adults and children 12 years of age and olderVigorously swish 20mL between teeth twice a day for 30 seconds then spit out.children under 12 years of ageconsult a dentist or doctor. Marketed by Body One Products Inc, this product is identified by NDC 73563-022 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
73563-022-01
Package Description
3785 mL in 1 JUG
Product Code
73563-022
11-Digit Billing Format
73563002201
RxNorm Crosswalk
  • RxCUI: 1043619 - eucalyptol 0.092 % / menthol 0.042 % / methyl salicylate 0.06 % / thymol 0.064 % Mouthwash
  • RxCUI: 1043619 - eucalyptol 0.92 MG/ML / menthol 0.42 MG/ML / methyl salicylate 0.6 MG/ML / thymol 0.64 MG/ML Mouthwash

Clinical Specifications

Proprietary Name
Aqua Blue Mouthwash
Dosage Form
-
Usage Information
Do not swallownot intended to replace brushing or flossing.Adults and children 12 years of age and olderVigorously swish 20mL between teeth twice a day for 30 seconds then spit out.children under 12 years of ageconsult a dentist or doctor

Regulatory & Marketing

Labeler Name
Body One Products Inc
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
02-01-2020
Listing Expiration
12-31-2023
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 73563-022-01 identifies a specific commercial package of 3785 ml in 1 jug of Aqua Blue Mouthwash, labeled by Body One Products Inc. 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 Body One Products Inc on February 01, 2020. The current certification is valid through December 31, 2023.

How is this Body One Products Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 73563002201. 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)
73563-022-01
11-Digit CMS (5-4-2)
73563-0022-01

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