Equate Mens Bold Scent 2 In 1 Dandruff Sh And Cond Shampoo
NDC Package 79903-002-01

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

Package Information

Equate Mens Bold Scent 2 In 1 Dandruff Sh And Cond (pyrithione zinc) shampoos is ⬥shake well⬥wet hair⬥massage onto scalp⬥rinse⬥repeat if desired⬥for best results use at least twice a week or as directed by a doctor⬥for maximum dandruff control, use every time you shampoo. This formulation utilizes a shampoo delivery system. Marketed by Wal-mart Stores, Inc., this product is identified by NDC 79903-002 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
79903-002-01
Package Description
928.5 mL in 1 BOTTLE, PUMP
Product Code
79903-002
11-Digit Billing Format
79903000201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Equate Mens Bold Scent 2 In 1 Dandruff Sh And Cond Anti-dandruff
Non-Proprietary Name
Pyrithione Zinc
Substance Name
Pyrithione Zinc
Dosage Form
Shampoo - A liquid soap or detergent used to clean the hair and scalp and is often used as a vehicle for dermatologic agents.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
PYRITHIONE ZINC 10 mg/mL
Usage Information
⬥shake well⬥wet hair⬥massage onto scalp⬥rinse⬥repeat if desired⬥for best results use at least twice a week or as directed by a doctor⬥for maximum dandruff control, use every time you shampoo

Regulatory & Marketing

Labeler Name
Wal-mart Stores, Inc.
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-05-2020
Listing Expiration
12-31-2027
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 79903-002-01 identifies a specific commercial package of 928.5 ml in 1 bottle, pump of Equate Mens Bold Scent 2 In 1 Dandruff Sh And Cond Anti-dandruff, a human over the counter drug labeled by Wal-mart Stores, Inc.. This shampoo is formulated for topical use and contains pyrithione zinc 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 Wal-mart Stores, Inc. on November 05, 2020. The current certification is valid through December 31, 2027.

How is this Wal-mart Stores, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79903000201. 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)
79903-002-01
11-Digit CMS (5-4-2)
79903-0002-01

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