What is NDC 79903-065?

79903-065 is the product NDC for equate mucus relief dm, Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1 tablet, extended release, listed with the FDA by WALMART INC.. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

equate mucus relief dm (Dextromethorphan hydrobromide, guaifenesin).

What is the active ingredient?

Dextromethorphan hydrobromide, Guaifenesin.

WALMART INC., 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 equate mucus relief dm?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

equate mucus relief dm NDC 79903-065

NDC codes

FDA NDC Directory

Product NDC (as listed)79903-065Labeler and product segments. Claims need a package NDC.

Product NDC at billing width79903-0065Add 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 NDC	11-digit (billing)	Package	Copy
79903-065-01	7990300650179903006501	1 BOTTLE in 1 CARTON (79903-065-01) / 20 TABLET, EXTENDED RELEASE in 1 BOTTLEMarketed from Jun 23, 2021
79903-065-49	7990300654979903006549	1 BOTTLE in 1 CARTON (79903-065-49) / 40 TABLET, EXTENDED RELEASE in 1 BOTTLEMarketed from Jun 29, 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): equate mucus relief dm
Generic name (nonproprietary): dextromethorphan hydrobromide, guaifenesin
Active ingredients: Dextromethorphan hydrobromide — 30 mg/1Guaifenesin — 600 mg/1
Dosage form: Tablet, Extended release
Route: Oral
Labeler: WALMART INC.NDC labeler code 79903
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 207602
Marketing start: Jun 23, 2021
Listing expires: Dec 31, 2027
Other FDA classes: Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 79903-065_8b5ced1f-0f08-42cb-b9d1-e17a2a6dd010SPL ID 8b5ced1f-0f08-42cb-b9d1-e17a2a6dd010
Pharmacologic class: Expectorant; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N479903006501 followed by a unit qualifier and the quantity

Package 79903-0065-01. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 79903-065

What is NDC 79903-065?: 79903-065 is the product NDC for equate mucus relief dm, Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1 tablet, extended release, listed with the FDA by WALMART INC.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: equate mucus relief dm (Dextromethorphan hydrobromide, guaifenesin).
What is the active ingredient?: Dextromethorphan hydrobromide, Guaifenesin.
Who is the labeler?: WALMART INC., 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 equate mucus relief dm?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 207602

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

FDA NDC Directory listings under ANDA 207602
Product	Strength	Form · route	Labeler	Product NDC
basic care mucus dmdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	Amazon.com Services LLC	72288-812
Berkley and Jensen Mucus Relief DMdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	BJWC	68391-812
DG health mucus dmdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	Dolgencorp, LLC	55910-575
DG health mucus dmdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	Dolgencorp Inc	55910-746
equaline mucus dmdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	United Natural Foods, Inc. dba UNFI	41163-599
Equaline Mucus DMdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	United Natural Foods, Inc. dba UNFI	41163-781
Exchange Select Mucus DMdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	Army & Air Force Exchange Service	55301-812
good neighbor pharmacy mucus dmdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	Amerisource Bergen	46122-637
Good Neighbor Pharmacy Mucus DMdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	Amerisource Bergen	46122-817
good sense mucus dmdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	L Perrigo Company	0113-0812
Good Sense Mucus DMdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	L. Perrigo Company	0113-2219
Good Sense Mucus DMdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	A-S Medication Solutions	50090-7258
Good Sense Mucus DMdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	Sportpharm LLC	85766-172
kirkland signature mucus dmdextromethorphan hbr, guaifenesin	Dextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1	Tablet, Extended releaseOral	Costco Wholesale Company	63981-812
Leader Mucus Relief DMdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	Cardinal Health 110, LLC. dba Leader	70000-0722
members mark mucus relief dmdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	Sam's West Inc	68196-812
mucus dmdextromethorphan hbr, guaifenesin	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	Meijer Distribution Inc	41250-812
Mucus DMdextromethorphan hydrobromide, guaifenesin	Dextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1	Tablet, Extended releaseOral	HyVee Inc	42507-222
mucus dmdextromethorphan hbr, guaifenesin	Dextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1	Tablet, Extended releaseOral	HyVee Inc	42507-812
mucus dm extended releaseguaifenesin, dextromethorphan hbr	Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1	Tablet, Extended releaseOral	CVS Pharmacy	69842-812

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