Equate First Aid Antiseptic Solution
NDC Package 79903-230-08

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

Package Information

Equate First Aid Antiseptic (povidone-iodine) solution is use:First aid antiseptic to help prevent the risk of infection in minor cuts, scrapes and burns. This formulation utilizes a solution delivery system. Marketed by Walmart Inc., this product is identified by NDC 79903-230 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
79903-230-08
Package Description
237 mL in 1 BOTTLE
Product Code
79903-230
11-Digit Billing Format
79903023008
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Equate First Aid Antiseptic
Non-Proprietary Name
Povidone-iodine
Substance Name
Povidone-iodine
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
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)
POVIDONE-IODINE 1 g/100mL
Usage Information
Use:First aid antiseptic to help prevent the risk of infection in minor cuts, scrapes and burns.

Regulatory & Marketing

Labeler Name
Walmart Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-10-2023
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 79903-230-08 identifies a specific commercial package of 237 ml in 1 bottle of Equate First Aid Antiseptic, a human over the counter drug labeled by Walmart Inc.. This solution is formulated for topical use and contains povidone-iodine 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 October 10, 2023. 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: 79903023008. 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)
79903-230-08
11-Digit CMS (5-4-2)
79903-0230-08

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