Periogel
NDC Package 75908-017-85

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Periogel is apply several drops to the affected area of the mouth.Allow medication to remain in place at least 1 minute and then spit out.Use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor.Children under 12 years of age should be supervised in the use of this product.Children under 2 years of age:Consult a dentist or doctor. Marketed by Qnt Anderson, Llc, this product is identified by NDC 75908-017 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
75908-017-85
Package Description
1 TUBE in 1 CARTON / 85 g in 1 TUBE
Product Code
75908-017
11-Digit Billing Format
75908001785
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Periogel
Dosage Form
-
Usage Information
Apply several drops to the affected area of the mouth.Allow medication to remain in place at least 1 minute and then spit out.Use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor.Children under 12 years of age should be supervised in the use of this product.Children under 2 years of age:Consult a dentist or doctor.

Regulatory & Marketing

Labeler Name
Qnt Anderson, 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
04-01-2011
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (75908-017). Click a package code to view its specific billing and regulatory data.

75908-017-28
1 TUBE in 1 CARTON / 28.3 g in 1 TUBE

* 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 75908-017-85 identifies a specific commercial package of 1 tube in 1 carton / 85 g in 1 tube of Periogel, labeled by Qnt Anderson, 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 Qnt Anderson, Llc on April 01, 2011. The current certification is valid through December 31, 2023.

How is this Qnt Anderson, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75908001785. 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)
75908-017-85
11-Digit CMS (5-4-2)
75908-0017-85

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