Overview

Active ingredients: Polyethylene glycol 400, Propylene glycol, Hypromellose 2910 (4000 mpa.s). Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name
Polyethylene glycol and propylene glycol; Hypromellose; Polyethylene glycol 400 and propylene glycol
Strengths
Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL; Hypromellose 2910 (4000 mpa.s) 3 mg/g
Dosage forms
Gel, Solution/ drops
Routes
Ophthalmic
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
3

NDC codes

Newest listings first. Each row links to the product’s NDC page.

Systane NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Systanepolyethylene glycol and propylene glycolPolyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mLSolution/ dropsOphthalmicAlcon Research Ltd0065-043100065-0431-33—
SystanehypromelloseHypromellose 2910 (4000 mpa.s) 3 mg/gGelOphthalmicAlcon Laboratories, Inc.0065-047400065-0474-01—
Systanepolyethylene glycol 400 and propylene glycolPolyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mLGelOphthalmicAlcon Laboratories, Inc.0065-045400065-0454-07—

Systane: common questions

What is the NDC for Systane?
Systane has 3 product NDCs, one for each strength, dosage form and labeler; each product NDC then has one package NDC per package size. Pick the row for your product above to see its package NDCs.
Is there a J-code for Systane?
Med-Code's curated HCPCS directory has no drug-specific code for these products. Drugs dispensed by a pharmacy are billed by NDC. NDC vs J-code.
Which NDC goes on a claim?
The package NDC of what was given, in 11-digit form. How to convert a 10-digit NDC.

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Systane NDC Codes & NDC Number | Med-Code