NDC codes

FDA NDC Directory
Product NDC (as listed)79903-304Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0304Add 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
79903-304-3079903030430799030304301 BOTTLE in 1 CARTON (79903-304-30) / 30 mL in 1 BOTTLEMarketed from Sep 27, 2024

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)
Walmart SalineSuffix: SALINE
Generic name (nonproprietary)
saline nasal (sodium chloride)
Active ingredients
Sodium chloride — 6.5 mg/mL
Dosage form
Spray
Route
Nasal
Labeler
WALMART STORES INCNDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Listing expires
Identifiers
Product ID 79903-304_42354cc4-c72c-fc4b-e063-6294a90a7321SPL ID 42354cc4-c72c-fc4b-e063-6294a90a7321SPL set ID 06906744-49a5-4bab-8539-af2d235df9e8RxCUI 707251UNII 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

N479903030430 followed by a unit qualifier and the quantity

Package 79903-0304-30. 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 Moisturizes dry, irritated, or crusty nasal passages due to low humidity, heated environments, air travel, allergies or colds. Helps loosens mucus secretions to aid aspiration and removal from nose and sinuses allowing for easier breathing. For newborns/infant this can be assisted with the use of our specially soft tip nasal Aspirator Warnings Directions (For nasal use only) Newborns/ Infants - 2 to 6 drops in each nostril as often as needed or as directed by your doctor. Children & Adults -2 to 6 Sprays /drops into each nostril as often as needed or as directed by a doctor. Other Information This product is non-medicated and can be used as often as needed without the worry of any harmf…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-304

What is NDC 79903-304?
79903-304 is the product NDC for Walmart Saline (saline nasal (sodium chloride)), Sodium chloride 6.5 mg/mL spray, listed with the FDA by WALMART STORES INC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walmart Saline (Saline nasal (Sodium chloride)).
What is the active ingredient?
Sodium chloride.
Who is the labeler?
WALMART STORES 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 Walmart Saline?
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 M 022

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

FDA NDC Directory listings under M 022
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