Walmart Saline (saline nasal (sodium chloride)) NDC 79903-304

NDC codes

FDA NDC Directory

Product NDC (as listed)79903-304Labeler and product segments. Claims need a package NDC.

Product NDC at billing width79903-0304Add 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
79903-304-30	79903030430	1 BOTTLE in 1 CARTON (79903-304-30) / 30 mL in 1 BOTTLEMarketed from Sep 27, 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): Walmart SalineSuffix: SALINE
Generic name (nonproprietary): saline nasal (sodium chloride)
Active ingredients: Sodium chloride — 6.5 mg/mL
Dosage form: Spray
Route: Nasal
Labeler: WALMART STORES INC
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 022
Marketing start: Sep 27, 2024
Listing expires: Dec 31, 2026
Identifiers: Product ID 79903-304_42354cc4-c72c-fc4b-e063-6294a90a7321SPL ID 42354cc4-c72c-fc4b-e063-6294a90a7321SPL set ID 06906744-49a5-4bab-8539-af2d235df9e8RxCUI 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

N479903030430 followed by a unit qualifier and the quantity

Package 79903-0304-30. 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 Oct 28, 2025.

Indications (excerpt from the label)

Uses Moisturizes dry, irritated, or crusty nasal passages due to low humidity, heated environments, air travel, allergies or colds. Helps loosens mucus secretions to aid aspiration and removal from nose and sinuses allowing for easier breathing. For newborns/infant this can be assisted with the use of our specially soft tip nasal Aspirator Warnings Directions (For nasal use only) Newborns/ Infants - 2 to 6 drops in each nostril as often as needed or as directed by your doctor. Children & Adults -2 to 6 Sprays /drops into each nostril as often as needed or as directed by a doctor. Other Information This product is non-medicated and can be used as often as needed without the worry of any harmf…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 022

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

FDA NDC Directory listings under M 022
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Sore Mouth Cleanserhydrogen peroxide	Hydrogen peroxide 15 mg/mL	MouthwashTopical	Meijer, Inc.	41250-750
Pearson Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Pearson Dental Supplies INC.	43305-0010
Cherry Throat Dropsmenthol	Menthol 1.3 mg/1	LozengeOral	Ricola USA Inc.	63667-518
Astra-dent Topical Anesthetic Gelbenzocaine	Benzocaine 200 mg/g	GelDental	Zag Usa Inc	71363-101
EcoDent Ultimate Essential Mouthcare Sparkling Clean Mintsodium bicarbonate	Sodium bicarbonate 25 mg/mL	LiquidOral	Lotus Brands, Inc.	76328-223
Parodontax Active Gum Health Daily Mouthwash Breath Freshenercetylpyridinium chloride	Cetylpyridinium chloride 70 mg/mL	LiquidOral	Haleon US Holdings LLC	0135-0652
Patterson Dental Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Patterson Dental	50227-1014
Natural Lemon Mint Herb Throat Dropsmenthol	Menthol 1.5 mg/1	LozengeOral	Ricola Ag	54305-489
Quality Choice Maximum Strength Oral Pain Relievingbenzocaine	Benzocaine 20 g/100g	GelTopical	Chain Drug Marketing Association Inc	63868-953
Kaylaanzero waste refill for toothpaste	Sodium fluoride .37 mg/440mg	Tablet, ChewableDental	Kaylaan LLC	82091-116
Patterson Dental Topical Anestheticbenzocaine	Benzocaine 200 mg/g	GelDental	Patterson Dental	50227-1011

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