NDC codes

FDA NDC Directory
Product NDC (as listed)79903-302Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0302Add 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
79903-302-1279903030212799030302121 BLISTER PACK in 1 CARTON (79903-302-12) / 12 TABLET in 1 BLISTER PACKMarketed from Nov 1, 2024
79903-302-2479903030224799030302242 BLISTER PACK in 1 CARTON (79903-302-24) / 12 TABLET in 1 BLISTER PACKMarketed from Nov 1, 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

Generic name (nonproprietary)
loperamide hydrochloride, simethicone
Active ingredients
Loperamide hydrochloride — 2 mg/1Dimethicone — 125 mg/1
Dosage form
Tablet
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 214541
Marketing start
Listing expires
Other FDA classes
Opioid Agonists (Mechanism)Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 79903-302_2b4e13d7-40b0-1543-e063-6294a90a677bSPL ID 2b4e13d7-40b0-1543-e063-6294a90a677bSPL set ID 23af573f-8d40-6b82-e063-6394a90aababRxCUI 978001UNII 77TI35393C, 92RU3N3Y1OUPC 0194346206247
Pharmacologic class
Opioid Agonist

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

N479903030212 followed by a unit qualifier and the quantity

Package 79903-0302-12. 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(s) relieves symptoms of diarrhea plus bloating, pressure and cramps, commonly referred to as gas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-302

What is NDC 79903-302?
79903-302 is the product NDC for Equate Anti Diarrheal Anti Gas Multi-Symptom Relief, Loperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1 tablet, 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 Anti Diarrheal Anti Gas Multi-Symptom Relief (Loperamide Hydrochloride, Simethicone).
What is the active ingredient?
Loperamide hydrochloride, Dimethicone.
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 Anti Diarrheal Anti Gas Multi-Symptom Relief?
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 214541

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

FDA NDC Directory listings under ANDA 214541
ProductStrengthForm · routeLabelerProduct NDC
Anti-Diarrheal/Anti-Gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralDiscount Drug Mart, Inc53943-263
Anti-Diarrheal/Anti-Gasloperamide hydrochloride, simethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralHarris Teeter, LLC69256-265
Anti-Diarrheal/Anti-Gas Multi-Symptom Reliefloperamide hydrochloride 2mg, simethicone 125mgLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralWal-Mart Stores, Inc.79903-116
Loperamide Hydrochloride, SimethiconeLoperamide hydrochloride 2 mg/1; Dimethicone 125 mg/1TabletOralGuardian Drug Company53041-263

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