In response to the recent recommendations by the Centers for Disease Control (CDC) regarding non-aerosolizing dental treatment during the COVID-19 pandemic, NC Medicaid is reminding dentists of the prescription fluoride products available to Medicaid and NC Health Choice patients at high risk for caries (active disease or previous caries related treatment).
Products included on the Medicaid Preferred Drug List:
DRUG NAME |
MANUFACTURER NAME |
NATIONAL DRUG CODE (NDC) |
SODIUM FLUORIDE 5000 PPM CREAM (TOOTHPASTE) |
BUREL PHARMACEUTICAL |
35573043451 |
SODIUM FLUORIDE 1.1% GEL |
BUREL PHARMACEUTICAL |
35573043556 |
SODIUM FLUORIDE 5000 PLUS CREAM (TOOTHPASTE) |
METHOD PHARMACEUTICAL |
58657049018 |
SODIUM FLUORIDE 1.1% GEL |
METHOD PHARMACEUTICAL |
58657049102 |
SODIUM FLUORIDE 5000 PLUS CREAM |
CYPRESS PHARMACEUTICAL |
60258015001 |
SODIUM FLUORIDE 1.1% GEL |
CYPRESS PHARMACEUTICAL |
60258015101 |
DENTA 5000 PLUS CREAM |
RISING PHARMACEUTICAL |
64980030550 |
DENTA 5000 PLUS CREAM |
RISING PHARMACEUTICAL |
64980030650 |
DENTAGEL 1.1% GEL |
RISING PHARMACEUTICAL |
64980030760 |
Contact
NC Medicaid Contact Center: 888-245-0179