NDC codes

FDA NDC Directory
Product NDC (as listed)79903-011Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0011Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
79903-011-0779903001107799030011071 TUBE in 1 PACKAGE (79903-011-07) / 2 g in 1 TUBEMarketed from Jun 1, 2021

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Docosanol
Generic name (nonproprietary)
docosanol
Active ingredients
Docosanol — 100 mg/g
Dosage form
Cream
Route
Topical
Labeler
WALMART INC. (see also Equate)NDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208754
Marketing start
Marketing end
Identifiers
Product ID 79903-011_50aef741-c28f-4416-a564-62e3d7e3bd5aSPL ID 50aef741-c28f-4416-a564-62e3d7e3bd5aSPL set ID e06fd4cf-cd92-4cae-94b7-abab95e97ebdRxCUI 797534UNII 9G1OE216XYUPC 0681131409186

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N479903001107 followed by a unit qualifier and the quantity

Package 79903-0011-07. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses treats cold sores/fever blisters on the face or lips shortens healing time and duration of symptoms: tingling, pain, burning, and/or itching

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-011

What is NDC 79903-011?
79903-011 is the product NDC for Docosanol, Docosanol 100 mg/g cream, listed with the FDA by WALMART INC. (see also Equate). It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Docosanol.
What is the active ingredient?
Docosanol.
Who is the labeler?
WALMART INC. (see also Equate), NDC labeler code 79903. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Docosanol?
35 other product NDCs are listed under this name. See all Docosanol NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Docosanol NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DocosanolDocosanol 100 mg/gCreamTopicalBIONPHARMA INC.69452-55069452-0550-0269452-0550-61
DocosanolDocosanol 100 mg/gCreamTopicalDr.Reddys' Laboratories Inc43598-94643598-0946-0243598-0946-1343598-0946-22
DocosanolDocosanol 100 mg/gCreamTopicalDr.Reddys' Laboratories Inc43598-04443598-0044-0243598-0044-33
DocosanolDocosanol 100 mg/gCreamTopicalKLM Laboratories Private Limited84725-00184725-0001-0184725-0001-0284725-0001-09
DocosanolDocosanol 100 mg/gCreamTopicalLeader/ Cardinal Health 110, Inc.70000-074370000-0743-01
DocosanolDocosanol 100 mg/gCreamTopicalWALMART INC. (see also Equate)79903-40279903-0402-1079903-0402-20
DocosanolDocosanol 100 mg/gCreamTopicalPublix Super Markets Inc.41415-66041415-0660-03
DocosanolDocosanol 100 mg/gCreamTopicalAlembic Pharmaceuticals Limited46708-68246708-0682-0146708-0682-03
DocosanolDocosanol 100 mg/gCreamTopicalH2-Pharma, LLC61269-88161269-0881-35
DocosanolDocosanol 100 mg/gCreamTopicalYYBA Corp73581-00473581-0004-0273581-0004-0373581-0004-10+1 more

All 36 Docosanol NDCs

Other NDCs under ANDA 208754

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 208754
ProductStrengthForm · routeLabelerProduct NDC
AbrevadocosanolDocosanol 100 mg/gCreamTopicalHaleon US Holdings LLC0135-0300
Cold Sore Fever BlisterdocosanolDocosanol 100 mg/gCreamTopicalH E B37808-223
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalWalgreens0363-8877
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalWalgreens0363-9220
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalWalgreens0363-9222
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalTARGET Corporation11673-846
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalSafeway, Inc.21130-823
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalThe Kroger Co.30142-981
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-963
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalP & L Development, LLC59726-877
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalChain Drug Consortium, LLC68016-344
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalTopco Associates76162-900
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalMeijer Distribution Inc.79481-9220
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalWALMART INC. (see also Equate)79903-435
Cold Sore Fever Blister TreatmentdocosanolDocosanol 100 mg/gCreamTopicalFSA Store Inc. (Caring Mills)81522-923
Cold Sore TreatmentdocosanolDocosanol 100 mg/gCreamTopicalH E B37808-229
Cold Sore TreatmentdocosanolDocosanol 100 mg/gCreamTopicalP & L Development, LLC59726-924
Cold Sore TreatmentdocosanolDocosanol 100 mg/gCreamTopicalFSA Store Inc. (Caring Mills)81522-922
DocosanolDocosanol 100 mg/gCreamTopicalUnited Natural Foods, Inc. dba UNFI41163-724
DocosanolDocosanol 100 mg/gCreamTopicalMEIJER, INC.41250-867

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