Over-the-counter drug · OTC MONOGRAPH DRUG
nasal decongestant (Oxymetazoline hydrochloride) NDC 21130-807
Oxymetazoline hydrochloride .05 g/100mL · Spray · Nasal · Safeway
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-807Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0807Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-807-10 | 2113008071021130080710 | 1 BOTTLE, SPRAY in 1 CARTON (21130-807-10) / 30 mL in 1 BOTTLE, SPRAYMarketed from Feb 14, 2025 |
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)
- nasal decongestant
- Generic name (nonproprietary)
- oxymetazoline hydrochloride
- Active ingredients
- Oxymetazoline hydrochloride — .05 g/100mL
- Dosage form
- Spray
- Route
- Nasal
- Labeler
- SafewayNDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 012
- Marketing start
- Listing expires
- Other FDA classes
- Imidazolines (Chemical structure)Increased Sympathetic Activity (Physiologic effect)Vasoconstriction (Physiologic effect)
- Identifiers
- Product ID 21130-807_43db7f87-29db-4c9d-9257-bb6e5c402443SPL ID 43db7f87-29db-4c9d-9257-bb6e5c402443SPL set ID f1d0edd5-fe58-4de0-98f4-07fb24bd0ac2RxCUI 1000990UNII K89MJ0S5VY
- Pharmacologic class
- Vasoconstrictor
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
N421130080710followed by a unit qualifier and the quantityPackage 21130-0807-10. 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 nasal congestion due to: • common cold • hay fever • upper respiratory allergies • temporarily relieves sinus congestion and pressure • shrinks swollen nasal membranes so you can breathe more freely
Excerpt only. Read the full label for complete information.
About NDC 21130-807
- What is NDC 21130-807?
- 21130-807 is the product NDC for nasal decongestant (oxymetazoline hydrochloride), Oxymetazoline hydrochloride .05 g/100mL spray, listed with the FDA by Safeway. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- nasal decongestant (Oxymetazoline Hydrochloride).
- What is the active ingredient?
- Oxymetazoline hydrochloride.
- Who is the labeler?
- Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for nasal decongestant?
- 14 other product NDCs are listed under this name. See all nasal decongestant NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other nasal decongestant products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| nasal decongestantoxymetazoline hydrochloride | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | Safeway | 21130-837 | 21130-0837-10 |
| nasal decongestantoxymetazoline hydrochloride | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | Safeway | 21130-420 | 21130-0420-10 |
| nasal decongestantpseudoephedrine hydrochloride | Pseudoephedrine hydrochloride 120 mg/1 | Tablet, Film coated, Extended releaseOral | Meijer Distribution Inc | 41250-809 | 41250-0809-5241250-0809-60 |
| nasal decongestantoxymetazoline hcl | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | A-S Medication Solutions | 50090-5281 | 50090-5281-00 |
| Nasal Decongestantcamellia sinensis, ephedra vulgaris, belladonna, arsenicum album, cinnabaris, kali bichromicum, pulsatilla, sepia, calcarea carbonica, mercurius solubilis, sulphur | Camellia sinensis whole 4 [hp_X]/mL + 10 more ingredients | LiquidOral | Natural Creations, Inc | 43406-0693 | 43406-0693-01 |
| nasal decongestantpseudoephedrine hydrochloride | Pseudoephedrine hydrochloride 120 mg/1 | Tablet, Extended releaseOral | Strategic Sourcing Services | 70677-0001 | 70677-0001-01 |
| Nasal Decongestantpseudoephedrine hcl | Pseudoephedrine hydrochloride 30 mg/1 | TabletOral | Rugby Laboratories | 0536-3607 | 00536-3607-35 |
| Nasal Decongestantpseudoephedrine hcl | Pseudoephedrine hydrochloride 30 mg/1 | TabletOral | Proficient Rx LP | 63187-344 | 63187-0344-24 |
| nasal decongestantpseudoephedrine hydrochloride | Pseudoephedrine hydrochloride 120 mg/1 | Tablet, Film coated, Extended releaseOral | HyVee Inc | 42507-054 | 42507-0054-5242507-0054-60 |
| nasal decongestantpseudoephedrine hydrochloride | Pseudoephedrine hydrochloride 120 mg/1 | Tablet, Film coated, Extended releaseOral | Publix Super Markets Inc | 56062-054 | 56062-0054-60 |
Other NDCs under M 012
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Allergy Reliefdiphenhydramine hydrochloride | Diphenhydramine hydrochloride 25 mg/1 | Tablet, Film coatedOral | WALGREENS | 0363-0100 |
| CVS Health No Dripnasal mist | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | CVS PHARMACY,INC. | 69842-815 |
| Vicks NyQuil VapoCOOL Severe COLD and FLU plus CONGESTIONacetaminophen, phenylephrine hydrochloride, doxylamine succinate, and dextromethorphan hydrobromide | Acetaminophen 325 mg/1 + 3 more ingredients | Tablet, CoatedOral | The Procter & Gamble Manufacturing Company | 69423-986 |
| Cold and Flu Nighttimeacetaminophen, dextromethorphan hbr, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | SolutionOral | Lidl US LLC | 71141-180 |
| basic care tussin dm maxdextromethorphan hbr, guaifenesin | Dextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mL | SolutionOral | Amazon.com Services LLC | 72288-293 |
| Menthol Cough Drops Honey Vanilla Flavormenthol | Menthol 2.5 mg/1 | LozengeOral | Xiamen Kang Zhongyuan Biotechnology Co., Ltd. | 83698-013 |
| equate daytime nighttime cold and fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, guaifenesen, phenylephrine hydrochloride | — | Kit | Sixarp, LLC | 59368-459 |
| Nasal Decongestant Maximum Strengthpseudoephedrine hcl | Pseudoephedrine hydrochloride 30 mg/1 | Tablet, Film coatedOral | Better Living Brands, LLC | 21130-112 |
| Medicated Chest Rubcamphor, menthol, eucalyptus oil | Camphor (Synthetic) 4.8 g/100g + 2 more ingredients | CreamTopical | Jell Pharmaceuticals Pvt Ltd. | 30400-701 |
| equaline nighttime cold and flu reliefacetaminophen, dextromethorphan hbr, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | SolutionOral | United Natural Foods, Inc. dba UNFI | 41163-459 |
| NiteTime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | LiquidOral | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-044 |
| Childrens Dye Free Allergydiphenhydramine hydrochloride | Diphenhydramine hydrochloride 12.5 mg/5mL | LiquidOral | P & L Development, LLC | 49580-0293 |
| Discount Drug Mart Original Nasaloxymetazoline hydrochloride | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | DISCOUNT DRUG MART | 53943-715 |
| Cold, Flu and Sore Throatacetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl | Acetaminophen 650 mg/20mL + 3 more ingredients | SolutionOral | Family Dollar Services Inc | 55319-705 |
| DG Health Cold and Flu Severeacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride | Acetaminophen 325 mg/15mL + 3 more ingredients | SolutionOral | Dolgencorp Inc | 55910-928 |
| Robitussin Severe Multi-Symptom Cough Cold Fluacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride | Acetaminophen 650 mg/20mL + 3 more ingredients | LiquidOral | Haleon US Holdings LLC | 0031-8751 |
| Afrin No Drip Pump Mist Bundle Packoxymetazoline hydrochloride | — | KitNasal | Bayer HealthCare LLC. | 11523-0147 |
| Cold Medicine XL3acetaminophen chlorpheniramine maleate phenylepherine hydrochloride | Acetaminophen 325 mg/1 + 2 more ingredients | TabletOral | Selder, S.A. de C.V. | 63654-605 |
| Nasal Spray, 1oz, 24/7 Life by 7-Elevenoxymetazoline hcl nasal solution 0.05% | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | Lil' Drug Store Products, Inc. | 66715-5526 |
| Vicks childrens Cough Congestionphenylephrine hcl, dextromethorphan hbr, guaifenesin | Dextromethorphan hydrobromide 10 mg/15mL + 2 more ingredients | LiquidOral | The Procter & Gamble Manufacturing Company | 69423-982 |
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