What is NDC 79903-121?

79903-121 is the product NDC for Equate SPF 15 Lip Balm, Octinoxate 75 mg/g + 2 more ingredients stick, listed with the FDA by Walmart. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Equate SPF 15 Lip Balm (Avobenzone, Octinoxate, Petrolatum).

What is the active ingredient?

Octinoxate, Avobenzone, Petrolatum.

Walmart, 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 SPF 15 Lip Balm?

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 SPF 15 Lip Balm NDC 79903-121

NDC codes

FDA NDC Directory

Product NDC (as listed)79903-121Labeler and product segments. Claims need a package NDC.

Product NDC at billing width79903-0121Add 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
79903-121-05	7990301210579903012105	4.25 g in 1 CONTAINER (79903-121-05)Marketed from Jun 20, 2022

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 SPF 15 Lip Balm
Generic name (nonproprietary): avobenzone, octinoxate, petrolatum
Active ingredients: Octinoxate — 75 mg/gAvobenzone — 30 mg/gPetrolatum — 423 mg/g
Dosage form: Stick
Route: Topical
Labeler: WalmartNDC labeler code 79903
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication 352
Marketing start: Jun 20, 2022
Listing expires: Dec 31, 2026
Identifiers: Product ID 79903-121_6fbd1a6b-956d-448d-bbe6-3eae33f69e79SPL ID 6fbd1a6b-956d-448d-bbe6-3eae33f69e79SPL set ID e41e15cf-3284-426e-9e81-d60c39fb2996UNII 4Y5P7MUD51, G63QQF2NOX, 4T6H12BN9U

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

N479903012105 followed by a unit qualifier and the quantity

Package 79903-0121-05. 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 Mar 5, 2025.

Indications (excerpt from the label)

Uses Helps prevent sunburn. if used as directed with other sun protection measures (see Directions) decreases the risk of skin cancer and early aging caused by the sun. helps prevent and temporarily protects chafed, chapped or cracked lips. Helps prevent and protect from the drying effects of wind and cold weather

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-121

What is NDC 79903-121?: 79903-121 is the product NDC for Equate SPF 15 Lip Balm, Octinoxate 75 mg/g + 2 more ingredients stick, listed with the FDA by Walmart. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Equate SPF 15 Lip Balm (Avobenzone, Octinoxate, Petrolatum).
What is the active ingredient?: Octinoxate, Avobenzone, Petrolatum.
Who is the labeler?: Walmart, 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 SPF 15 Lip Balm?: 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 352

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

FDA NDC Directory listings under 352
Product	Strength	Form · route	Labeler	Product NDC
ChapIce Moisture SPF 15 Lip Balmoxybenzone, octinoxate, petrolatum	Octinoxate 7.5 mg/g + 2 more ingredients	StickTopical	OraLabs	63645-140
ChapIce SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate	Octinoxate 7.5 mg/g + 3 more ingredients	StickTopical	OraLabs	63645-163
ChapIce SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate	Octinoxate 7.5 mg/g + 3 more ingredients	StickTopical	OraLabs	63645-164
ChapIce SPF 30 Lip Balmavobenzone, octisalate, homosalate, petrolatum	Octisalate 50 mg/g + 3 more ingredients	StickTopical	OraLabs	63645-180
Dermatone SPF 30 Bass Pro Shopavobenzone, homosalate, octinoxate, octocrylene, dimethicone	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Dermatone	54414-109
Dermatone SPF 50 Sunscreen Stickzinc oxide	Zinc oxide 200 mg/g	StickTopical	Dermatone	54414-108
OraLabs SPF 15 Lip Balmavobenzone, octinoxate, petrolatum	Octinoxate 75 mg/g + 2 more ingredients	StickTopical	OraLabs	63645-181
Panama Jack SPF 45 Dreamsicle Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Panama Jack	87449-202
Panama Jack SPF 45 Flavorless Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Panama Jack	87449-200
Panama Jack SPF 45 Mango Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Panama Jack	87449-201
Panama Jack SPF 45 Tropical Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Panama Jack	87449-203
Panama Jack SPF 45 Vanilla Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Panama Jack	87449-204
SPF 15 - Zinc Oxide Lip Balmzinc oxide	Zinc oxide 100 mg/g	StickTopical	OraLabs	63645-182
SPF 30 - Zinc Oxide Lip Balmzinc oxide	Zinc oxide 150 mg/g	StickTopical	Dermatone	54414-107
SPF 30 - Zinc Oxide Lip Balmzinc oxide	Zinc oxide 150 mg/g	StickTopical	OraLabs	63645-184
SPF 30 Sunscreen Stickavobenzone, homosalate, octisalate, octocrylene	Avobenzone 30 mg/g + 3 more ingredients	StickTopical	OraLabs	63645-329
SPF 45 - Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	OraLabs	63645-183
SPF 50 Sunscreen Stickzinc oxide	Zinc oxide 200 mg/g	StickTopical	OraLabs	63645-178
Sunfrog Ultra SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate, petroleum jelly	Octinoxate 7.5 mg/g + 4 more ingredients	StickTopical	OraLabs	63645-165
Tea Tree Lip Balm, SPF 15octinoxate, oxybenzone	Octinoxate 20 mg/g; Oxybenzone 45 mg/g	StickTopical	OraLabs	63645-176

Equate SPF 15 Lip Balm (Avobenzone, octinoxate, petrolatum) NDC 79903-121