Over-the-counter drug · OTC MONOGRAPH DRUG
Original Redness Reliever (Tetrahydrolizine hcl) NDC 79903-363
Tetrahydrozoline hydrochloride .05 g/100mL · Solution/ drops · Ophthalmic · Walmart
NDC codes
FDA NDC DirectoryProduct NDC (as listed)79903-363Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0363Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-363-01 | 79903036301 | 1 BOTTLE in 1 BOX (79903-363-01) / 15 mL in 1 BOTTLEMarketed from Dec 26, 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)
- Original Redness Reliever
- Generic name (nonproprietary)
- tetrahydrolizine hcl
- Active ingredients
- Tetrahydrozoline hydrochloride — .05 g/100mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- WalmartNDC labeler code 79903
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 79903-363_46691108-80cd-e721-e063-6294a90a8cf7SPL ID 46691108-80cd-e721-e063-6294a90a8cf7SPL set ID 4414f768-0c69-d041-e063-6294a90a5bd9RxCUI 1052943UNII 0YZT43HS7DUPC 0194346489848
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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N479903036301followed by a unit qualifier and the quantityPackage 79903-0363-01. 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)
■ relieves redness of the eye due to minor eye irritations
Excerpt only. Read the full label for complete information.
About NDC 79903-363
- What is NDC 79903-363?
- 79903-363 is the product NDC for Original Redness Reliever (tetrahydrolizine hcl), Tetrahydrozoline hydrochloride .05 g/100mL solution/ drops, listed with the FDA by Walmart. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Original Redness Reliever (Tetrahydrolizine HCL).
- What is the active ingredient?
- Tetrahydrozoline hydrochloride.
- Who is the labeler?
- Walmart, 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 Original Redness Reliever?
- 1 other product NDC are listed under this name. See all Original Redness Reliever NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Original Redness Reliever products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Original Redness Relievertetrahydrolizine hcl | Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | KC Pharmaceuticals | 55651-063 | 55651-0063-01 |
Other NDCs under M 018
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Refresh P.M.mineral oil, petrolatum | Mineral oil 425 mg/g; Petrolatum 573 mg/g | OintmentOphthalmic | Allergan, Inc. | 0023-0240 |
| Walgreens Soothing Eye Relief Lubricant Eye Dropspolyvinyl alcohol, povidone | Polyvinyl alcohol .5 g/100mL; Povidone .6 g/100mL | Solution/ dropsOphthalmic | Walgreens Co. | 0363-0796 |
| Regener-Eyes Ophthalmic Solution PROFESSIONAL STRENGTH XLglycerin ophthalmic solution | Glycerin 5 mg/mL | Solution/ dropsOphthalmic | M & M PRODUCTS, L.L.C. | 87354-002 |
| Colirio Oftal-Mycinglycerin, naphazoline hydrochloride | Glycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mL | Solution/ dropsOphthalmic | Grandall Distributing Co., Inc. | 48201-107 |
| Meijer Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Meijer Distribution, Inc. | 41250-319 |
| Systane Ultra Preservative Freepolyethylene glycol 400 and propylene glycol | Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL | Solution/ dropsOphthalmic | Alcon Laboratories, Inc. | 0065-1507 |
| Regener-Eyes Ophthalmic Solution LITE XLglycerin ophthalmic solution | Glycerin 4 mg/mL | Solution/ dropsOphthalmic | M & M PRODUCTS, L.L.C. | 87354-001 |
| Polyvinyl Alcohol | Polyvinyl alcohol 14 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-7119 |
| Winco Maximum Redness Relief Eye Dropsglycerin, naphazoline hcl | Glycerin 500 mg/100mL; Naphazoline hydrochloride 30 mg/100mL | Solution/ dropsOphthalmic | WinCo Foods, LLC | 67091-285 |
| Publix Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochloride | Dextran 70 .1 g/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Publix Super Markets, Inc. | 56062-084 |
| Meijer Redness Reliefglycerin, naphazoline hci | Naphazoline hydrochloride .012 g/100mL; Glycerin .25 g/100mL | Solution/ dropsOphthalmic | Meijer Distribution, Inc. | 41250-846 |
| Equate Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Walmart, Inc. | 79903-131 |
| Artificial Tears Lubricant Eye Dropsglycerin, propylene glycol | Glycerin 3 mg/mL; Propylene glycol 10 mg/mL | Solution/ dropsOphthalmic | CVS Pharmacy | 69842-454 |
| Meijer Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Meijer Distribution, Inc. | 79481-0066 |
| Systane Hydration PF Preservative Freepolyethylene glycol 400 and propylene glycol | Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL | Solution/ dropsOphthalmic | Alcon Laboratories, Inc. | 0065-1510 |
| REFRESH OPTIVE Advancedcarboxymethylcellulose sodium, glycerin, and polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-4307 |
| Exchange Select Maximum Redness Relief Eye Dropsglycerin, naphazoline hcl | Glycerin .5 g/100mL; Naphazoline hydrochloride .03 g/100mL | Solution/ dropsOphthalmic | Army and Air Force Exchange Service | 55301-998 |
| Tyson 2.0 Mike Red Eye Drops For Dry High Eyesglycerin, naphazoline hcl | Glycerin .5 g/100mL; Naphazoline hydrochloride .03 g/100mL | Solution/ dropsOphthalmic | Jbrands Pharma L.L.C. | 84843-0050 |
| Sunmark Eye Drops Advanced Moisturizer/Lubricantdextran, polyethylene glycol 400, povidone, tetrahydrozoline | Dextran 70 .1 g/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Strategic Sourcing Services LLC | 49348-697 |
| Discount Drug Mart Eye Drops A.C.tetrahydrozoline hcl, zinc sulfate | Tetrahydrozoline hydrochloride .05 g/100mL; Zinc sulfate .25 g/100mL | SolutionOphthalmic | Discount Drug Mart | 53943-062 |
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