Well at Walgreens NDC 0363-0504

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-0504Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-0504Add 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
0363-0504-30	00363050430	1 KIT in 1 KIT (0363-0504-30) * 3000 mg in 1 PACKET (0363-0802-00)Marketed from Apr 1, 2013

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Well at Walgreens
Generic name (nonproprietary): sodium bicarbonate, sodium chloride
Dosage form: Kit
Route: Nasal
Labeler: Walgreen Company
Product type: Over-the-counter drug
Marketing category: Unapproved drug (other)
Marketing start: Apr 1, 2013
Listing expires: Dec 31, 2026
Identifiers: Product ID 0363-0504_459bd1c9-d7a6-8bc9-e063-6394a90a8ecdSPL ID 459bd1c9-d7a6-8bc9-e063-6394a90a8ecdSPL set ID e28b0a20-fcac-45de-97ae-32c72876cb8dRxCUI 1542919

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

N400363050430 followed by a unit qualifier and the quantity

Package 00363-0504-30. 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 Dec 10, 2025.

Indications (excerpt from the label)

Uses Temporarily relieves symptoms associated with sinusitis, cold, flu or allergies -Sneezing -Nasal Stuffiness -Runny nose -Post nasal drip Removes inhaled irritants (dust, pollen) Removes nasal and sinus drainage Helps reduce swelling of nasal membranes Moisturizes dry nasal passages

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)