Over-the-counter drug · OTC MONOGRAPH DRUG
Equate Lubricant Eye Drops NDC 79903-131
polyethylene glycol 400, propylene glycol · Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL · Solution/ drops · Ophthalmic · Walmart, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)79903-131Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0131Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-131-30 | 7990301313079903013130 | 30 VIAL, SINGLE-USE in 1 BOX (79903-131-30) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Jul 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 Lubricant Eye Drops
- Generic name (nonproprietary)
- polyethylene glycol 400, propylene glycol
- Active ingredients
- Polyethylene glycol 400 — .4 g/100mLPropylene glycol — .3 g/100mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- Walmart, Inc.NDC labeler code 79903
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 79903-131_47494778-349d-6448-e063-6294a90a3c34SPL ID 47494778-349d-6448-e063-6294a90a3c34SPL set ID deebaf7f-f20d-4d7f-e053-2a95a90a4b4fRxCUI 477589UNII B697894SGQ, 6DC9Q167V3UPC 0681131107099
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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N479903013130followed by a unit qualifier and the quantityPackage 79903-0131-30. 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)
Use for the temporary relief of burning and irritation due to dryness of the eye
Excerpt only. Read the full label for complete information.
About NDC 79903-131
- What is NDC 79903-131?
- 79903-131 is the product NDC for Equate Lubricant Eye Drops, Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL solution/ drops, listed with the FDA by Walmart, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Equate Lubricant Eye Drops (Polyethylene glycol 400, Propylene glycol).
- What is the active ingredient?
- Polyethylene glycol 400, Propylene glycol.
- 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 Lubricant Eye Drops?
- 5 other product NDCs are listed under this name. See all Equate Lubricant Eye Drops NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Equate Lubricant Eye Drops products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Equate Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 mg/100mL | Solution/ dropsOphthalmic | Hanlim | 11716-0364 | 11716-0364-05 |
| Equate Lubricant Eye Dropscarboxymethylcellulose sodium, glycerin | Carboxymethylcellulose sodium .5 g/100mL; Glycerin .9 g/100mL | Solution/ dropsOphthalmic | Hanlim | 11716-0365 | 11716-0365-05 |
| Equate Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 mg/100mL | Solution/ dropsOphthalmic | Walmart | 79903-364 | 79903-0364-05 |
| Equate Lubricant Eye Dropscarboxymethylcellulose sodium, glycerin | Carboxymethylcellulose sodium .5 g/100mL; Glycerin .9 g/100mL | Solution/ dropsOphthalmic | Walmart | 79903-365 | 79903-0365-05 |
| Equate Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Wal-Mart Stores, Inc. | 49035-528 | 49035-0528-0249035-0528-03 |
Other NDCs under M 018
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Eyewash Additive Concentratewater and propylene glycol | Water 2374.4 L/2800L; Propylene glycol 280 kg/2800L | LiquidOphthalmic | Haws Corporation | 66051-236 |
| Signature Care Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | Better Living Brands, LLC | 21130-756 |
| Polyvinyl Alcohol | Polyvinyl alcohol 14 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-7119 |
| Sunmark Eye Drops Advanced Moisturizer/Lubricantdextran, polyethylene glycol 400, povidone, tetrahydrozoline | Dextran 70 .1 g/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Strategic Sourcing Services LLC | 49348-697 |
| Sodium Chloride | Sodium chloride 1000 mg/1 | TabletOral | Rising Pharma Holdings, Inc. | 57237-361 |
| VitaPhyte Redness Reliever Lubricant Eye Dropsredness reliever lubricant eye drops | Tetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100g | SolutionOphthalmic | Guangzhou Liyan Cosmetics Technology Co., Ltd. | 87770-001 |
| Signature Care Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-705 |
| Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Droptics LLC | 85211-001 |
| Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-702 |
| Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80 | Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredients | LiquidOphthalmic | Droptics LLC | 85211-002 |
| Gentle Eyes Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium 5 mg/mL | Solution/ dropsOphthalmic | TRP Company | 17312-430 |
| Signature Care Eye Drops Redness and Dry Eye Reliefglycerin, naphazoline hydrochloride | Glycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-703 |
| Signature Care Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl | Dextran 70 100 mg/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-704 |
| REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-4230 |
| Sodium Chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals, LLC | 58657-119 |
| CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | CVS | 69842-746 |
| Sodium Chloride Normal Saltsodium chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals | 58657-118 |
| Best Choice Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochloride | Dextran 70 .1 g/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Valu Merchandisers, Co. | 63941-942 |
| Meijer Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfate | Tetrahydrozoline hydrochloride .05 g/100mL + 2 more ingredients | Solution/ dropsOphthalmic | Meijer, Inc. | 79481-0250 |
| iVIZIA Dry Eyepovidone | Povidone 25 mg/5mL | Solution/ dropsOphthalmic | Thea Pharma Inc. | 82584-700 |
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