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Over-the-counter medicine

Sodium fluoride

Sodium fluoride is an over-the-counter medicine. No generic is listed; pharmacies paid $0.0975 per mL (Sodium fluoride 5000 ppm paste) in the October 7, 2026 NADAC survey.

  • No generic listed
  • Over the counter

Check it at the source: the sodium fluoride FDA label on DailyMed (effective February 16, 2026); every sodium fluoride label on DailyMed.

Highlights of the record

FDA label of February 16, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

aids in the prevention of dental cavities

Forms and strengths

  • 0.02 g/100ml
  • 0.03 g/100ml
  • 0.05 g/100ml
  • 0.09 mg/ml
  • 0.1 mg/ml
  • 0.1 g/100g
  • 0.15 g/100g
  • 0.2 mg/ml
  • 0.2 g/100g
  • 0.22 g/100g
  • 0.24 g/100g
  • 0.243 g/100g

Paste (dentifrice); mouthwash; gel (dentifrice); rinse; liquid.

On the market

Generic approvals
No generic approved
Labelers listed (NDC)
147 of which 0 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$0.0975 per mL Sodium fluoride 5000 ppm paste
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
0 since 2014 0 Class I among all firms' recalls; 5 more by firms not listed as its makers
FAERS reports
3,690 through July 30, 2026

What is sodium fluoride used for?

From the label: indications and usage

aids in the prevention of dental cavities

Source: FDA drug label (AQUAFRESH CAVITY PROTECTION), Haleon US Holdings LLC, effective February 16, 2026 (SPL set 5484999c-8e6f-430d-99a5-6893a2489467), via openFDA; the full label on DailyMed

Is there a generic for sodium fluoride?

No generic sodium fluoride is approved (Drugs@FDA, October 8, 2026).

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for sodium fluoride?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.0975 per mL (Sodium fluoride 5000 ppm paste), about the same as a year earlier. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Sodium fluoride 5000 ppm paste (generic)
$0.120
$0.0713
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Denta 5000 plus creamGeneric$0.0633 per gramn/a-5%
Dentagel 1.1% gelGeneric$0.108 per gramn/a+5%
Fluoride 0.25 mg tablet chewableGeneric$0.0774 per tablet$2.32+15%
Fluoride 0.5 mg tablet chewableGeneric$0.0733 per tablet$2.20+0.3%
Fluoride 1 mg tablet chewableGeneric$0.0722 per tablet$2.17+8%
Sodium fluoride 0.2% rinseGeneric$0.0253 per mLn/a+2%
Sodium fluoride 0.25 (0.55) mgGeneric$0.0774 per unitn/a+15%
Sodium fluoride 0.5 mg(1.1 mg)Generic$0.0733 per unitn/a+0.3%
Sodium fluoride 0.5 mg/mL dropGeneric$0.156 per mLn/a-23%
Sodium fluoride 1 mg (2.2 mg)Generic$0.0722 per unitn/a+8%
Sodium fluoride 1.1% gelGeneric$0.108 per gramn/a+5%
Sodium fluoride 5000 dry mouthGeneric$0.0975 per mLn/a-0.1%
Sodium fluoride 5000 plus creamGeneric$0.0633 per gramn/a-5%
Sodium fluoride 5000 ppm pasteGeneric$0.0975 per mLn/a-0.1%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Has sodium fluoride been recalled?

The FDA's Enforcement Report lists 5 recalls naming sodium fluoride since 2014: 0 Class I (the most serious), 3 Class II, 2 Class III; 0 still ongoing. 5 of them are by firms that FDA's NDC Directory does not list as a maker of sodium fluoride and that hold no application for it in Drugs@FDA, such as compounding pharmacies or bulk-ingredient suppliers; the recall notice names the product recalled. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
August 11, 2023Class IIAVKARE LLC not a listed makerCases of Sodium Fluoride 1.1% Prescription Dental Toothpaste may contain cartons labeled as Capsaicin Cream 0.025% but contain correctly labeled tubes of …
February 13, 2017Class IIIColgate Palmolive Co not a listed makerLabel Mix up; rear panel is incorrectly labeled with the PreviDent 5000 Enamel Protect rear panel.
July 15, 2015Class IIGlaxoSmithkline Consmer Healthcare not a listed makerPresence of Foreign Substance: Fragments of wood found when the product was extruded onto a toothbrush.
December 19, 2014Class III3M Company/3m Espe Dental Products not a listed makerLabeling: Incorrect or Missing Lot and/or Exp. Date - The subject lot is missing the lot number and expiration date stamp on the primary box..

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What does the sodium fluoride label say about other medicines?

The sodium fluoride label names no other medicine on this site. The labels of 1 other medicine name sodium fluoride. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Check sodium fluoride against other medicines

Source: FDA drug label (AQUAFRESH CAVITY PROTECTION), Haleon US Holdings LLC, effective February 16, 2026 (SPL set 5484999c-8e6f-430d-99a5-6893a2489467), via openFDA; the full label on DailyMed

What do FAERS reports show for sodium fluoride?

The FDA Adverse Event Reporting System holds 3,690 reports that list sodium fluoride among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 504 are coded as a death and 976 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Fatigue343
  • Nausea316
  • Pain286
  • Diarrhoea275
  • Vomiting246
  • Pneumonia236
  • Pyrexia236
  • Headache234

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Sodium fluoride side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other