NDC codes

FDA NDC Directory
Product NDC (as listed)79903-415Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0415Add 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
79903-415-997990304159979903041599100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (79903-415-99)Marketed from Mar 26, 2026

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)
Ibuprofen Dye FreeSuffix: Dye Free
Generic name (nonproprietary)
ibuprofen
Active ingredients
Ibuprofen — 200 mg/1
Dosage form
Tablet, Film 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 075139
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 79903-415_025f3636-fa4f-4669-8011-e95c9de615f7SPL ID 025f3636-fa4f-4669-8011-e95c9de615f7SPL set ID 2b04d255-a1df-4698-9b5a-ad7a12205e1bRxCUI 310965UNII WK2XYI10QMUPC 0194346615087

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

N479903041599 followed by a unit qualifier and the quantity

Package 79903-0415-99. 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 temporarily relieves minor aches and pains due to: headache muscular aches minor pain of arthritis backache menstrual cramps toothache the common cold temporarily reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-415

What is NDC 79903-415?
79903-415 is the product NDC for Ibuprofen Dye Free (ibuprofen), Ibuprofen 200 mg/1 tablet, film 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?
Ibuprofen Dye Free (Ibuprofen).
What is the active ingredient?
Ibuprofen.
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 Ibuprofen Dye Free?
2 other product NDCs are listed under this name. See all Ibuprofen Dye Free 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 Ibuprofen Dye Free NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ibuprofen Dye-FreeibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-43849035-0438-90
Ibuprofen Dye FreeibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCVS Pharmacy59779-43859779-0438-12

Other NDCs under ANDA 075139

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

FDA NDC Directory listings under ANDA 075139
ProductStrengthForm · routeLabelerProduct NDC
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCardinal Health 107, LLC55154-0669
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralTopco Associates, LLC36800-993
Dye Free IbuprofenibuprofenIbuprofen 200 mg/1TabletOralBreeden Brothers, LLC70729-002
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCardinal Health 110, LLC. DBA Leader70000-0291
Ibuprofen Dye-FreeibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-438
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralH E B37808-393
pain relief ibuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralRite Aid Corporation11822-0392
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralRite Aid Corporation11822-0393
Dye Free IbuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralWalgreen Company0363-4381
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralMeijer Distribution Inc41250-993
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralARMY AND AIR FORCE EXCHANGE SERVICE55301-392
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-7914
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCOSTCO WHOLESALE CORPORATION63981-393
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralARMY AND AIR FORCE EXCHANGE SERVICE55301-393
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralMeijer Distribution, Inc.79481-0392
Dye Free IbuprofenibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralWalgreen Company0363-0438
Ibuprofen Dye FreeibuprofenIbuprofen 200 mg/1Tablet, Film coatedOralCVS Pharmacy59779-438
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralFamily Dollar Services Inc55319-893
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralL.N.K. International, Inc.50844-353
IbuprofenIbuprofen 200 mg/1Tablet, Film coatedOralL.N.K. International, Inc.50844-352

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