Rexall Sinus Wash System Kit
NDC Package 55910-919-20

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Rexall Sinus Wash System (sodium bicarbonate, sodium chloride) kits is usesTemporarily relieves symptoms associated withsinusitis, cold, flu or allergies-Sneezing-Nasal Stuffiness-Runny nose-Post nasal dripRemoves inhaled irritants (dust, pollen)Promotes nasal and sinus drainageHelps reduce swelling of nasal membranesMoisturizes dry nasal passages. This formulation utilizes a kit delivery system. Marketed by Dolgencorp, Llc, this product is identified by NDC 55910-919.

Identification & Billing

NDC Package Code
55910-919-20
Package Description
1 KIT in 1 KIT * 3000 mg in 1 PACKET (55910-543-20)
Product Code
55910-919
11-Digit Billing Format
55910091920
RxNorm Crosswalk
  • RxCUI: 1542919 - sodium bicarbonate 700 MG / sodium chloride 2300 MG Powder for Nasal Solution
  • RxCUI: 1542919 - NaHCO3 700 MG / NaCl 2300 MG Powder for Nasal Solution

Clinical Specifications

Proprietary Name
Rexall Sinus Wash System Soft Tip Squeeze Bottle
Non-Proprietary Name
Sodium Bicarbonate, Sodium Chloride
Dosage Form
Kit - A packaged collection of related material.
Administration Route
Nasal - Administration to the nose; administered by way of the nose.
Usage Information
UsesTemporarily relieves symptoms associated withsinusitis, cold, flu or allergies-Sneezing-Nasal Stuffiness-Runny nose-Post nasal dripRemoves inhaled irritants (dust, pollen)Promotes nasal and sinus drainageHelps reduce swelling of nasal membranesMoisturizes dry nasal passages

Regulatory & Marketing

Labeler Name
Dolgencorp, Llc
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
05-17-2021
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 55910-919-20 identifies a specific commercial package of 1 kit in 1 kit * 3000 mg in 1 packet (55910-543-20) of Rexall Sinus Wash System Soft Tip Squeeze Bottle, a human over the counter drug labeled by Dolgencorp, Llc. This kit is formulated for nasal use and contains as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Dolgencorp, Llc on May 17, 2021. The current certification is valid through December 31, 2026.

How is this Dolgencorp, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910091920. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
55910-919-20
11-Digit CMS (5-4-2)
55910-0919-20

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.