NDC codes

FDA NDC Directory
Product NDC (as listed)0363-0801Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-0801Add 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
0363-0801-1000363080110100 PACKET in 1 BOX (0363-0801-10) / 3000 mg in 1 PACKET (0363-0801-00)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
Active ingredients
Sodium bicarbonate — 700 mg/3000mgSodium chloride — 2300 mg/3000mg
Dosage form
Powder, For solution
Route
Nasal
Labeler
Walgreen CompanyNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)
Identifiers
Product ID 0363-0801_2d03cda7-765b-ba74-e063-6294a90a9c4eSPL ID 2d03cda7-765b-ba74-e063-6294a90a9c4eSPL set ID cb5d3d9d-2481-4303-b6af-0002de8c9065RxCUI 1542919UNII 8MDF5V39QO, 451W47IQ8X
Pharmacologic class
Osmotic Laxative

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

N400363080110 followed by a unit qualifier and the quantity

Package 00363-0801-10. 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 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)

About NDC 0363-0801

What is NDC 0363-0801?
0363-0801 is the product NDC for Well at Walgreens, Sodium bicarbonate 700 mg/3000mg; Sodium chloride 2300 mg/3000mg powder, for solution, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Well at Walgreens (Sodium bicarbonate, Sodium chloride).
What is the active ingredient?
Sodium bicarbonate, Sodium chloride.
Who is the labeler?
Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Well at Walgreens?
2 other product NDCs are listed under this name. See all Well at Walgreens NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Well at Walgreens NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Well at Walgreenssodium bicarbonate, sodium chloride—KitNasalWalgreen Company0363-050400363-0504-30
Well at Walgreenssodium bicarbonate, sodium chlorideSodium bicarbonate 700 mg/3000mg; Sodium chloride 2300 mg/3000mgPowder, For solutionNasalWalgreen Company0363-080200363-0802-00

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