Gentle Laxative Tablet, Delayed Release
NDC Package 79903-178-08

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

Package Information

Gentle Laxative (bisacodyl) tablets is bisacodyl is used to treat constipation. This formulation utilizes a tablet, delayed release delivery system. Marketed by Wal-mart Stores Inc, this product is identified by NDC 79903-178 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
79903-178-08
Package Description
1 BLISTER PACK in 1 CARTON / 8 TABLET, DELAYED RELEASE in 1 BLISTER PACK
Product Code
79903-178
11-Digit Billing Format
79903017808
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Gentle Laxative
Non-Proprietary Name
Bisacodyl
Substance Name
Bisacodyl
Dosage Form
Tablet, Delayed Release - A solid dosage form which releases a drug (or drugs) at a time other than promptly after administration. Enteric-coated articles are delayed release dosage forms.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
BISACODYL 5 mg/1
Pharmacologic Class
Usage Information
Bisacodyl is used to treat constipation. It may also be used to clean out the intestines before a bowel examination/surgery. Bisacodyl is known as a stimulant laxative. It works by increasing the movement of the intestines, helping the stool to come out.

Regulatory & Marketing

Labeler Name
Wal-mart Stores Inc
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-27-2022
End Marketing Date
03-31-2027
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 79903-178-08 identifies a specific commercial package of 1 blister pack in 1 carton / 8 tablet, delayed release in 1 blister pack of Gentle Laxative, a human over the counter drug labeled by Wal-mart Stores Inc. This tablet, delayed release is formulated for oral use and contains bisacodyl 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 December 27, 2022.

What are the primary indications for this medication?

Bisacodyl is used to treat constipation. It may also be used to clean out the intestines before a bowel examination/surgery. Bisacodyl is known as a stimulant laxative. It works by increasing the movement of the intestines, helping the stool to come out.

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: 79903017808. 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)
79903-178-08
11-Digit CMS (5-4-2)
79903-0178-08

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