Equate Lubricant Eye
NDC Package 79903-028-35

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Equate Lubricant Eye is pull down the lower lid of the affected eye and apply a small amount (one-fourth inch) of ointment to the inside of the eyelid. Marketed by Wal-mart Stores Inc, this product is identified by NDC 79903-028 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
79903-028-35
Package Description
1 TUBE in 1 BOX / 3.5 g in 1 TUBE
Product Code
79903-028
11-Digit Billing Format
79903002835
RxNorm Crosswalk
  • RxCUI: 579999 - mineral oil 31.9 % / petrolatum 57.7 % Ophthalmic Ointment
  • RxCUI: 579999 - mineral oil 0.319 MG/MG / petrolatum 0.577 MG/MG Ophthalmic Ointment
  • RxCUI: 579999 - mineral oil 31.9 % / petrolatum, white 57.7 % Ophthalmic Ointment

Clinical Specifications

Proprietary Name
Equate Lubricant Eye Stye
Dosage Form
-
Usage Information
Pull down the lower lid of the affected eye and apply a small amount (one-fourth inch) of ointment to the inside of the eyelid

Regulatory & Marketing

Labeler Name
Wal-mart Stores Inc
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
09-13-2021
Listing Expiration
12-31-2023
Exclude Flag
I
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 79903-028-35 identifies a specific commercial package of 1 tube in 1 box / 3.5 g in 1 tube of Equate Lubricant Eye Stye, labeled by Wal-mart Stores Inc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Wal-mart Stores Inc on September 13, 2021. The current certification is valid through December 31, 2023.

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: 79903002835. 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)
79903-028-35
11-Digit CMS (5-4-2)
79903-0028-35

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