NDC codes

FDA NDC Directory
Product NDC (as listed)79903-013Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0013Add 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
79903-013-0379903001303799030013033 BOTTLE in 1 CARTON (79903-013-03) / 14 CAPSULE, GELATIN COATED in 1 BOTTLE (79903-013-01)Marketed from Apr 30, 2021

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

Generic name (nonproprietary)
omeprazole, sodium bicarbonate
Active ingredients
Omeprazole — 20 mg/1Sodium bicarbonate — 1100 mg/1
Dosage form
Capsule, Gelatin coated
Route
Oral
Labeler
WALMART INC.NDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 201361
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 79903-013_73c4e834-2046-4ead-9783-3098456744b1SPL ID 73c4e834-2046-4ead-9783-3098456744b1SPL set ID c24c3326-99da-4c7d-aecc-7b4a8ac3f04eRxCUI 616539UNII KG60484QX9, 8MDF5V39QO
Pharmacologic class
Osmotic Laxative; Proton Pump Inhibitor

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N479903001303 followed by a unit qualifier and the quantity

Package 79903-0013-03. 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)

Use • treats frequent heartburn (occurs 2 or more days a week) • not intended for immediate relief of heartburn. This drug may take 1 to 4 days for full effect.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-013

What is NDC 79903-013?
79903-013 is the product NDC for equate omeprazole and sodium bicarbonate, Omeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1 capsule, gelatin coated, listed with the FDA by WALMART INC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
equate omeprazole and sodium bicarbonate (Omeprazole, sodium bicarbonate).
What is the active ingredient?
Omeprazole, Sodium bicarbonate.
Who is the labeler?
WALMART INC., NDC labeler code 79903. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for equate omeprazole and sodium bicarbonate?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 201361

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 201361
ProductStrengthForm · routeLabelerProduct NDC
basic care omeprazole and sodium bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralAmazon.com Services LLC72288-732
Good Sense Omeprazole and Sodium Bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralL. Perrigo Company0113-0058
omeprazole and sodium bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralMeijer Distribution Inc41250-938
Omeprazole and sodium bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralH E B37808-732
Zegerid OTComepraole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralRiley Consumer Care LLC82632-699
omeprazole and sodium bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralAmazon.com Services LLC72288-564
Omeprazole and sodium bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralWalgreen Company0363-0732
Omeprazole and Sodium Bicarbonateomeprazole, sodium bicarbonateOmeprazole 20 mg/1; Sodium bicarbonate 1100 mg/1Capsule, Gelatin coatedOralCVS Pharmacy59779-732

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