Sinus Wash Packet NDC 11822-0484

NDC codes

FDA NDC Directory

Product NDC (as listed)11822-0484Labeler and product segments. Claims need a package NDC.

Product NDC at billing width11822-0484Add 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
11822-0484-0	11822048400	100 PACKET in 1 CARTON (11822-0484-0) / 3000 mg in 1 PACKET (11822-0484-1)Marketed from Jan 16, 2022

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Sinus Wash Packet
Generic name (nonproprietary): sodium bicarbonate, sodium chloride
Active ingredients: Sodium bicarbonate — 700 mg/3000mgSodium chloride — 2300 mg/3000mg
Dosage form: Powder
Route: Nasal
Labeler: RITE AID CORPORATION
Product type: Over-the-counter drug
Marketing category: Unapproved drug (other)
Marketing start: Jan 16, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers: Product ID 11822-0484_2d03e2af-0fb3-e983-e063-6394a90a90d4SPL ID 2d03e2af-0fb3-e983-e063-6394a90a90d4SPL set ID d5b44ae7-81e8-1413-e053-2995a90a5933RxCUI 1542919UNII 8MDF5V39QO, 451W47IQ8XUPC 0011822578059
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

N411822048400 followed by a unit qualifier and the quantity

Package 11822-0484-00. 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)