Equate Pain Relief Balm Ointment
NDC Package 79903-105-18

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

Package Information

Equate Pain Relief Balm (menthol 11%, camphor 11% ointment) ointment is for adults and children over 12 years: rub well on the affected area. This formulation utilizes a ointment delivery system. Marketed by Walmart, Inc, this product is identified by NDC 79903-105 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
79903-105-18
Package Description
1 BOTTLE, GLASS in 1 CARTON / 18 g in 1 BOTTLE, GLASS
Product Code
79903-105
11-Digit Billing Format
79903010518
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Equate Pain Relief Balm
Non-Proprietary Name
Menthol 11%, Camphor 11% Ointment
Substance Name
Camphor (synthetic); Menthol
Dosage Form
Ointment - A semisolid3 dosage form, usually containing <20% water and volatiles5 and >50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
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
For adults and children over 12 years: rub well on the affected area. Repeat 3 to 4 times dailyfor children 12 years of age or younger: consult a doctor before use

Regulatory & Marketing

Labeler Name
Walmart, Inc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-01-2022
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 79903-105-18 identifies a specific commercial package of 1 bottle, glass in 1 carton / 18 g in 1 bottle, glass of Equate Pain Relief Balm, a human over the counter drug labeled by Walmart, Inc. This ointment is formulated for topical use and contains camphor (synthetic); menthol 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 April 01, 2022. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79903010518. 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)
79903-105-18
11-Digit CMS (5-4-2)
79903-0105-18

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