NDC codes

FDA NDC Directory
Product NDC (as listed)21130-972Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0972Add 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
21130-972-01211300972011 KIT in 1 KIT (21130-972-01) * 30 PACKET in 1 KIT / 3000 mg in 1 PACKET (21130-984-30)Marketed from Apr 29, 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)
Sinus Wash Squeeze Bottle Kit
Generic name (nonproprietary)
sodium chloride, sodium bicarbonate
Dosage form
Kit
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 21130-972_33efc1a1-3b9d-7eaa-e063-6294a90ac893SPL ID 33efc1a1-3b9d-7eaa-e063-6294a90ac893SPL set ID 33efc0d9-32ab-85d9-e063-6294a90a99b9RxCUI 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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N421130097201 followed by a unit qualifier and the quantity

Package 21130-0972-01. 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 •Runny nose •Nasal stuffiness •Post nasal drip •Removes inhaled irritants (dust, pollen) •Promotes 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)

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