Good Hygiene Therapeutic Mouth Rinse
NDC Package 81439-110-16

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.

Good Hygiene Therapeutic Mouth Rinse is uses• for temporary use to cleanse canker sores and minor wounds or minor guminflammation resulting from minor dental procedures, dentures, orthodonticappliances, accidental injury, or other irritations of the mouth and gums. Marketed by Good Hygiene Company, this product is identified by NDC 81439-110 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
81439-110-16
Package Description
475 mL in 1 BOTTLE, PLASTIC
Product Code
81439-110
11-Digit Billing Format
81439011016
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Good Hygiene Therapeutic Mouth Rinse
Dosage Form
-
Usage Information
Uses• for temporary use to cleanse canker sores and minor wounds or minor guminflammation resulting from minor dental procedures, dentures, orthodonticappliances, accidental injury, or other irritations of the mouth and gums

Regulatory & Marketing

Labeler Name
Good Hygiene Company
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
05-01-2021
Listing Expiration
12-31-2024
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 81439-110-16 identifies a specific commercial package of 475 ml in 1 bottle, plastic of Good Hygiene Therapeutic Mouth Rinse, labeled by Good Hygiene Company. 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 Good Hygiene Company on May 01, 2021. The current certification is valid through December 31, 2024.

How is this Good Hygiene Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 81439011016. 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)
81439-110-16
11-Digit CMS (5-4-2)
81439-0110-16

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