NDC codes

FDA NDC Directory
Product NDC (as listed)79903-275Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0275Add 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
79903-275-03799030275037990302750388 mL in 1 BOTTLE, SPRAY (79903-275-03)Marketed from Sep 30, 2024

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 Premium Saline
Generic name (nonproprietary)
sodium chloride 0.65%
Active ingredients
Sodium chloride — .65 g/100mL
Dosage form
Spray
Route
Nasal
Labeler
Walmart Stores, Inc.NDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 79903-275_48c65221-7bc1-594b-e063-6394a90a3f0eSPL ID 48c65221-7bc1-594b-e063-6394a90a3f0eSPL set ID 1e17f022-f513-140d-e063-6394a90a379eRxCUI 707251UNII 451W47IQ8X

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

NDC on a medical claim

N479903027503 followed by a unit qualifier and the quantity

Package 79903-0275-03. 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 Provides instant, soothing relief to dry irritated nasal passages due to colds, allergies, dry air, pollution, smoke, air travel, and use of decongestants/steroidal sprays.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-275

What is NDC 79903-275?
79903-275 is the product NDC for Equate Premium Saline (sodium chloride 0.65%), Sodium chloride .65 g/100mL spray, listed with the FDA by Walmart Stores, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Equate Premium Saline (Sodium chloride 0.65%).
What is the active ingredient?
Sodium chloride.
Who is the labeler?
Walmart Stores, 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 Premium Saline?
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.

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