Well at Walgreens NDC 0363-0802

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-0802Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-0802Add 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
0363-0802-00	00363080200	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
Active ingredients: Sodium bicarbonate — 700 mg/3000mgSodium chloride — 2300 mg/3000mg
Dosage form: Powder, For solution
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
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 0363-0802_2d071d79-fd0e-7b3a-e063-6394a90a04f0SPL ID 2d071d79-fd0e-7b3a-e063-6394a90a04f0SPL set ID bcd336b4-9189-44d5-ae6d-81e535eff6b5RxCUI 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

N400363080200 followed by a unit qualifier and the quantity

Package 00363-0802-00. 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 Jan 31, 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)