NDC codes

FDA NDC Directory
Product NDC (as listed)59779-408Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59779-0408Add 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
59779-408-01597790408013000 mg in 1 PACKET (59779-408-01)Marketed from Jun 1, 2013
59779-408-02597790408021 PACKET in 1 BOX (59779-408-02) / 3000 mg in 1 PACKETMarketed from Jun 1, 2013

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)
Cvs
Generic name (nonproprietary)
sodium bicarbonate, sodium chloride
Active ingredients
Sodium bicarbonate — 22.8 mg/100mgSodium chloride — 77.8 mg/100mg
Dosage form
Powder
Route
Nasal
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Alkalinizing Activity (Mechanism)
Identifiers
Product ID 59779-408_2d0433c9-8f79-17a1-e063-6394a90acb88SPL ID 2d0433c9-8f79-17a1-e063-6394a90acb88SPL set ID bccefef8-f92d-42fc-90fc-86644d1df655RxCUI 1542919UNII 8MDF5V39QO, 451W47IQ8X

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

N459779040801 followed by a unit qualifier and the quantity

Package 59779-0408-01. 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 sinusitus, cold, flu or allegies: -Sneezing -Nasal Stuffiness -Runny nose -Post nasal drip Removes inhaled irritants (dust, pollen) Helps to loosen thick mucous Moistens nasal passages

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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