Walmart Tablet, Chewable
NDC Package 79903-968-20

11-digit billing NDC: 79903096820
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Walmart (diphenhydramine hcl) tablets is ▪find right dose on chart below▪Chew one tablet completely at the onset of symptoms. This formulation utilizes a tablet, chewable delivery system. Marketed by Walmart Stores Inc, this product is identified by NDC 79903-968 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
79903-968-20
Package Description
2 BLISTER PACK in 1 CARTON / 10 TABLET, CHEWABLE in 1 BLISTER PACK
Product Code
79903-968
11-Digit Billing Format
79903096820
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Walmart Dye Free Chidrens Allergy Chews Bubblegum
Non-Proprietary Name
Diphenhydramine Hcl
Substance Name
Diphenhydramine Hydrochloride
Dosage Form
Tablet, Chewable - A solid dosage form containing medicinal substances with or without suitable diluents that is intended to be chewed, producing a pleasant tasting residue in the oral cavity that is easily swallowed and does not leave a bitter or unpleasant after-taste.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
DIPHENHYDRAMINE HYDROCHLORIDE 12.5 mg/1
Pharmacologic Class
Usage Information
▪find right dose on chart below▪Chew one tablet completely at the onset of symptoms. Do not swallow tablets whole.▪take every 4 to 6 hours or as directed by a doctor▪do not take more than 6 times in 24 hoursAge (Yr)Dose (Chewable tablets)children under 2 yearsdo not use children 2 to 5 yearsdo not use unless directed by a doctor children 6 to 11 years1 to 2 chewable tablets (12.5 mg to 25 mg)adults and children 12 years and over 2 to 4 chewable tablets (25 mg to 50 mg)

Regulatory & Marketing

Labeler Name
Walmart Stores Inc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-30-2026
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 79903-968-20 identifies a specific commercial package of 2 blister pack in 1 carton / 10 tablet, chewable in 1 blister pack of Walmart Dye Free Chidrens Allergy Chews Bubblegum, a human over the counter drug labeled by Walmart Stores Inc. This tablet, chewable is formulated for oral use and contains diphenhydramine hydrochloride 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 Stores Inc on January 30, 2026. The current certification is valid through December 31, 2027.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79903096820. 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)
79903-968-20
11-Digit CMS (5-4-2)
79903-0968-20

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