Over-the-counter drug · ANDA

equate omeprazole (omeprazole magnesium) NDC 79903-112

Omeprazole magnesium 20 mg/1 · Capsule, Delayed release · Oral · WALMART INC.

NDC codes

FDA NDC Directory
Product NDC (as listed)79903-112Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0112Add 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
79903-112-14799030112141 BOTTLE in 1 CARTON (79903-112-14) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Nov 30, 2022
79903-112-28799030112282 BOTTLE in 1 CARTON (79903-112-28) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Nov 30, 2022
79903-112-42799030112423 BOTTLE in 1 CARTON (79903-112-42) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLEMarketed from Nov 30, 2022

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)
equate omeprazole
Generic name (nonproprietary)
omeprazole magnesium
Active ingredients
Omeprazole magnesium — 20 mg/1
Dosage form
Capsule, Delayed release
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 216096
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C19 Inhibitors (Mechanism)Proton Pump Inhibitors (Mechanism)
Identifiers
Product ID 79903-112_7b73e714-95e4-4f9f-a94c-78d214980106SPL ID 7b73e714-95e4-4f9f-a94c-78d214980106SPL set ID 6790b6c8-c258-4dfb-a400-25dc2812971fRxCUI 198051UNII 426QFE7XLK
Pharmacologic class
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

N479903011214 followed by a unit qualifier and the quantity

Package 79903-0112-14. 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)

Other NDCs under ANDA 216096

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

FDA NDC Directory listings under ANDA 216096
ProductStrengthForm · routeLabelerProduct NDC
Good Sense OmeprazoleomeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralL. Perrigo Company0113-6010
omeprazoleOmeprazole 20 mg/1Capsule, Delayed releaseOralAmazon.com Services LLC72288-606
omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralSafeway21130-528
omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-271
OmeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-843
OmeprazoleOmeprazole 20 mg/1Capsule, Delayed releaseOralH E B59640-699
omeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralMeijer, Inc.79481-3023
omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralWalgreen Company0363-6089
OmeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralSafeway21130-783
basic care omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralAmazon.com Services LLC72288-023
OmeprazoleOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralWalgreen Company0363-4099
Omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralYYBA CORP73581-015
omeprazoleomeprazole magnesiumOmeprazole magnesium 20 mg/1Capsule, Delayed releaseOralMeijer, Inc.79481-0281

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