SPECIAL BULLETIN COVID-19 #89: Prescription Fluoride Available to Beneficiaries

Monday, May 18, 2020

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
(TOOTHPASTE)

CYPRESS PHARMACEUTICAL

60258015001

SODIUM FLUORIDE 1.1% GEL

CYPRESS PHARMACEUTICAL

60258015101

DENTA 5000 PLUS CREAM
(TOOTHPASTE)

RISING PHARMACEUTICAL

64980030550

DENTA 5000 PLUS CREAM
(TOOTHPASTE)

RISING PHARMACEUTICAL

64980030650

DENTAGEL 1.1% GEL

RISING PHARMACEUTICAL

64980030760

Contact

NC Medicaid Contact Center: 888-245-0179