Over-the-counter drug · OTC MONOGRAPH DRUG

Oil Free Acne Wash (Salicylic acid 2%) NDC 79903-369

Salicylic acid 20 mg/mL · Lotion · Topical · Walmart Inc.

NDC codes

FDA NDC Directory
Product NDC (as listed)79903-369Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0369Add 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
79903-369-0679903036906177 mL in 1 BOTTLE, PLASTIC (79903-369-06)Marketed from Jun 10, 2025
79903-369-0979903036909269 mL in 1 BOTTLE, PLASTIC (79903-369-09)Marketed from Jun 10, 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)
Oil Free Acne Wash
Generic name (nonproprietary)
salicylic acid 2%
Active ingredients
Salicylic acid — 20 mg/mL
Dosage form
Lotion
Route
Topical
Labeler
Walmart Inc.NDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 006
Marketing start
Listing expires
Identifiers
Product ID 79903-369_4bd56492-faaa-64ac-e063-6394a90a7c1aSPL ID 4bd56492-faaa-64ac-e063-6394a90a7c1aSPL set ID 31e49de0-0806-d18b-e063-6294a90ae47dRxCUI 562600UNII O414PZ4LPZ

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

NDC on a medical claim

N479903036906 followed by a unit qualifier and the quantity

Package 79903-0369-06. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

About NDC 79903-369

What is NDC 79903-369?
79903-369 is the product NDC for Oil Free Acne Wash (salicylic acid 2%), Salicylic acid 20 mg/mL lotion, listed with the FDA by Walmart Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Oil Free Acne Wash (Salicylic Acid 2%).
What is the active ingredient?
Salicylic acid.
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 Oil Free Acne Wash?
7 other product NDCs are listed under this name. See all Oil Free Acne Wash NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Oil Free Acne Wash NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20 mg/mLLotionTopicalAmerican Sales Company41520-94841520-0948-30
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20 mg/mLLotionTopicalCVS Pharmacy, Inc.59779-96159779-0961-82
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20.6 mg/mLLotionTopicalUnited Natural Foods, Inc. dba UNFI41163-94741163-0947-30
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20.6 mg/mLLotionTopicalTopco Associates LLC36800-94736800-0947-30
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20.6 mg/mLLotionTopicalMeijer, Inc.41250-94741250-0947-0641250-0947-82
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20 mg/mLLotionTopicalYour Military Exchanges55301-94755301-0947-06
Oil Free Acne Washsalicylic acid 2%Salicylic acid 20.6 mg/mLLotionTopicalPublix Super Markets, Inc.56062-94756062-0947-30

Other NDCs under M 006

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

FDA NDC Directory listings under M 006
ProductStrengthForm · routeLabelerProduct NDC
10 Acne Medbenzoyl peroxideBenzoyl peroxide 100 mg/mLGelTopicalFace Reality, Inc.70707-151
10% Azelaic Acidazelaic acid creamAzelaic acid 10 g/100gCreamTopicalGuangzhou Ariel Medical Technology Co., Ltd.87815-002
111 Medco Benzoyl Peroxidebenzoyl peroxideBenzoyl peroxide 100 mg/gSoapTopical111 Medco72811-137
111MedCo 2% Salicylic Acid Cleansing Barsalicylic acidSalicylic acid 20 mg/gSoapTopical111MedCo LLC72811-000
111MedCo 6% Sulfur Skin Cleansing BarsulfurSulfur 60 mg/gSoapTopical111MedCo LLC72811-001
14% Azelaic Acidazelaic acidAzelaic acid 14 g/100gCreamTopicalGuangzhou Ariel Medical Technology Co., Ltd.87815-003
14% Azelaic Acid Acneazelaic acidAzelaic acid 14 g/100gCreamTopicalGuangdong Bisutang Biotechnology Co., Ltd.84753-056
2.5 Acne Medbenzoyl peroxideBenzoyl peroxide 25 mg/mLGelTopicalFace Reality, Inc.70707-152
24 Hour Acne Serumbenzoyl peroxideBenzoyl peroxide 5 g/100gGelTopicalDrmtlgy, LLC83286-007
24 Hour Sensitive Skin Acne Clearing Systemsalicylic acid—KitAcne Free LLC80861-118
24 Pk Blemish Dotsalicylic acid 0.5%Salicylic acid .5 g/100gPatchTopicalGanzhou Olivee Cosmetic Co., Ltd.56136-170
24 Pk Blemish Dotsalicylic acid 0.5%Salicylic acid .5 g/100gPatchTopicalGanzhou Olivee Cosmetic Co., Ltd.56136-171
24 Pk Blemish Dotsalicylic acid 0.5%Salicylic acid .5 g/100gPatchTopicalGanzhou Olivee Cosmetic Co., Ltd.56136-172
30 day Acne Treatment Kitsalicylic acid, benzoyl peroxide—KitTopicalCosmetic Enterprises Ltd56152-0250
5 Percent Benzoyl Peroxide Cleanserbenzoyl peroxideBenzoyl peroxide 50 mg/mLGelTopicalBrand Evangelists for Beauty Limited81136-023
Abib Acne foam cleanser Heartleaf foamsalicylic acidSalicylic acid .65 g/100mLCreamTopicalFourcompany Co., Ltd.73676-101
Acne Advanced Clarifying Hydratorsalicylic acidSalicylic acid 10 mg/mLCreamTopicalEminence Organic Skin Care Ltd.15751-3030
Acne Advanced Clarifying Masquesalicylic acidSalicylic acid 5 mg/mLCreamTopicalEminence Organic Skin Care Ltd.15751-3020
Acne Advanced Treatment Systemsalicylic acid—KitEminence Organic Skin Care Ltd.15751-3000
Acne And Line Correcting Serumsalicylic acidSalicylic acid 10 mg/mLLotionTopicalCLINIQUE LABORATORIES LLC49527-053

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