Spf Moisturizer Lotion
NDC Package 79903-059-26

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

Package Information

Spf Moisturizer lotions is apply liberally 15 minures before sun exposurereapply:after 80 minutes of swimming or sweatingimmediately after towel dryingat least every 2 hoursSun Protecton Measures. This formulation utilizes a lotion delivery system. Marketed by Walmart Inc., this product is identified by NDC 79903-059 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
79903-059-26
Package Description
1 BOTTLE, PUMP in 1 CARTON / 118 mL in 1 BOTTLE, PUMP
Product Code
79903-059
11-Digit Billing Format
79903005926

Clinical Specifications

Proprietary Name
Spf Moisturizer
Non-Proprietary Name
Spf Moisturizer
Substance Name
Avobenzone; Octisalate; Octocrylene
Dosage Form
Lotion - An emulsion, liquid1 dosage form. This dosage form is generally for external application to the skin.2
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)
Usage Information
Apply liberally 15 minures before sun exposurereapply:after 80 minutes of swimming or sweatingimmediately after towel dryingat least every 2 hoursSun Protecton Measures. Spending time in the sun increases your risk of skin cancer and early skin aging. To decreade this risk, regularly use a sunscreen with a Broad Spectrum SPF value of 15 or higher and other sun protection measures includinglimit time in the sun, especiually from 10 a.m. - 2 p.m.wear long-sleeved shirts, pants, hats and sunglasseschilden under 6 months of age: Ask a doctor

Regulatory & Marketing

Labeler Name
Walmart Inc.
Product Type
Human Otc Drug
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-20-2021
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 79903-059-26 identifies a specific commercial package of 1 bottle, pump in 1 carton / 118 ml in 1 bottle, pump of Spf Moisturizer, a human over the counter drug labeled by Walmart Inc.. This lotion is formulated for topical use and contains avobenzone; octisalate; octocrylene 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 Walmart Inc. on May 20, 2021. The current certification is valid through December 31, 2027.

How is this Walmart Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79903005926. 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)
79903-059-26
11-Digit CMS (5-4-2)
79903-0059-26

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