Equate Health Non Drowsy Day Cold And Flu Plus And Nighttime Cold And Flu Plus Kit
NDC Package 79903-133-20

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

Package Information

Equate Health Non Drowsy Day Cold And Flu Plus And Nighttime Cold And Flu Plus (acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride) kits is dAY COLD & FLU FORMULAdo not take more than the recommended doseadults and children 12 years and over: take 2 softgels with water every 4 hours. This formulation utilizes a kit delivery system. Marketed by Wal-mart Stores Inc, this product is identified by NDC 79903-133 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
79903-133-20
Package Description
1 KIT in 1 CARTON * 1 BLISTER PACK in 1 CARTON / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK * 1 BLISTER PACK in 1 CARTON / 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
79903-133
11-Digit Billing Format
79903013320
RxNorm Crosswalk
  • RxCUI: 1086997 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG Oral Capsule
  • RxCUI: 1086997 - acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Capsule
  • RxCUI: 1086997 - APAP 325 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Capsule
  • RxCUI: 1297288 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / doxylamine succinate 6.25 MG / phenylephrine HCl 5 MG Oral Capsule
  • RxCUI: 1297288 - acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / doxylamine succinate 6.25 MG / phenylephrine hydrochloride 5 MG Oral Capsule

Clinical Specifications

Proprietary Name
Equate Health Non Drowsy Day Cold And Flu Plus And Nighttime Cold And Flu Plus
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
Dosage Form
Kit - A packaged collection of related material.
Usage Information
DAY COLD & FLU FORMULAdo not take more than the recommended doseadults and children 12 years and over: take 2 softgels with water every 4 hours. Do not exceed 10 softgels in 24 hours or as directed by a doctor.children under 12 years: do not useNIGHTTIME COLD & FLU FORMULAdo not take more than the recommended doseadults and children 12 years and over: take 2 softgels with water every 4 hours. Do not exceed 10 softgels in 24 hours or as directed by a doctor.children under 12 years: do not use

Regulatory & Marketing

Labeler Name
Wal-mart Stores Inc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-11-2022
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 79903-133-20 identifies a specific commercial package of 1 kit in 1 carton * 1 blister pack in 1 carton / 12 capsule, liquid filled in 1 blister pack * 1 blister pack in 1 carton / 8 capsule, liquid filled in 1 blister pack of Equate Health Non Drowsy Day Cold And Flu Plus And Nighttime Cold And Flu Plus, a human over the counter drug labeled by Wal-mart Stores Inc. This kit is formulated for 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 Wal-mart Stores Inc on August 11, 2022. 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: 79903013320. 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)
79903-133-20
11-Digit CMS (5-4-2)
79903-0133-20

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