Overview

Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Strengths (from the 100 most recently listed products)
Polyethylene glycol 400 1 g/100mL; Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL; Dextran 70 .1 g/100mL; Povidone 1 g/100mL; Glycerin .2 g/100mL; Hypromellose, Unspecified .2 g/100mL; Polyethylene glycol 400 10 mg/mL; Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL; Tetrahydrozoline hydrochloride .5 mg/mL; Zinc sulfate .25 g/100mL; Povidone, Unspecified 1 g/100mL; Polyethylene glycol 400 2.5 mg/mL; Propylene glycol 2.5 g/50mL; Poly(Methyl methacrylate 2.1 g/50mL; Octocrylene 1.8 g/50mL; Tetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100g
Dosage forms
Solution/ drops, Solution, Liquid, Cream, Gel, Spray
Routes
Ophthalmic, Topical
Drug classes (FDA established)
Plasma Volume Expander, Non-Standardized Chemical Allergen, Copper Absorption Inhibitor, Vitamin C, Anti-coagulant, Calculi Dissolution Agent
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
118 (from the 100 most recently listed products)

NDC codes

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

Polyethylene glycol 400 NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Dr.Harry EYES PROTECTIONpolyethylene glycol 400 1% eyes protectionPolyethylene glycol 400 1 g/100mLSprayTopicalWenzhou Yuyuan Pharmaceutical Co., Ltd.87786-05687786-0056-01—
Visine Red Eye Hydrating Comfort Eye Dropstetrahydrozoline hydrochloride and polyethylene glycol 400Tetrahydrozoline hydrochloride .5 mg/mL; Polyethylene glycol 400 10 mg/mLSolution/ dropsOphthalmicSavings Distributors LLC73097-01873097-0018-90—
Retaine Ultra PFpolyethylene glycolPolyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mLLiquidOphthalmicOCuSOFT LLC54799-47054799-0470-10—
Crocodile Tears Lubricant Eye Dropsglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicCrocodile Tears LLC87522-11587522-0115-01—
Artificial Tears Lubricant Eye Dropsglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicKC Pharmaceuticals, Inc55651-11555651-0115-01—
VitaPhyte Redness Reliever Lubricant Eye Dropsredness reliever lubricant eye dropsTetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100gSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-00187770-0001-01—
Blink Triple Care Preservative Freepolyethylene glycol 400Polyethylene glycol 400 2.5 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated29943-01029943-0010-0529943-0010-10—
GoodSense Eye Drops Advanced Relief Moisturizerdextran, polyethylene glycol 400, povidone, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL + 3 more ingredientsSolutionOphthalmicSportpharm LLC85766-16585766-0165-15—
Value Health by Prodose Eye Dropstetrahydrozoline hydrochloride and polyethylene glycol 400Tetrahydrozoline hydrochloride .5 mg/mL; Polyethylene glycol 400 10 mg/mLSolution/ dropsOphthalmicProdose, Inc.68210-505968210-5059-01—
Walgreens Ultra Lubricantpolyethylene glycol 400, and propylene glycolPolyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mLSolution/ dropsOphthalmicWalgreens0363-615400363-6154-05—
Walgreens Lubricantpolyethylene glycol 400, and propylene glycolPropylene glycol 3 mg/mL; Polyethylene glycol 400 4 mg/mLSolution/ dropsOphthalmicWalgreens0363-615300363-6153-05—
Code Red Eye Drops Redness Reliefpolyethylene glycol 400, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mLSolution/ dropsOphthalmic4 Trees, LLC83817-96383817-0963-01—
Medics Choice Fresh and Soothe Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicKC Pharmaceuticals, Inc.55651-99955651-0999-01—
CorneaCare Recover Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicCorneaCare Inc.82875-00282875-0002-01—
Quality Choice Moisturizing Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hclDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicChain Drug Marketing Association, Inc.83324-19183324-0191-14—
GoodSense Eye Drops Advanced Relief Moisturizerdextran, polyethylene glycol 400, povidone, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL + 3 more ingredientsSolutionOphthalmicPreferred PHarmaceuticals Inc.68788-863568788-8635-01—
Discount Drug Mart Eye Drops Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicDiscount Drug Mart, Inc.53943-49053943-0490-01—
CVS Health Fast Acting Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicCVS Pharmacy, Inc.51316-65951316-0659-0151316-0659-02—
Exchange Select High Performance Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicArmy and Air Force Exchange Service55301-34755301-0347-01—
Harris Teeter Ultra Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicHarris Teeter, LLC.69256-98069256-0980-01—
Quality Choice Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicChain Drug Marketing Assoc., Inc.83324-03083324-0030-15—
Quality Choice Lubricant Eye Drops High Performancepolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicChain Drug Marketing Assoc., Inc.83324-02983324-0029-15—
Archies Dry Eye Reliefpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicArchie's Remedies83737-00183737-0001-3083737-0001-60—
Glitch Advanced Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mLSolution/ dropsOphthalmicMisemer Pharmaceutical, Inc0276-080100276-0801-15—
Family Wellness Advanced Redness Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mLSolution/ dropsOphthalmicFamily Dollar Services, Inc.55319-90655319-0906-01—
Foster and Thrive Long Lasting Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicStrategic Sourcing Services LLC70677-116270677-1162-01—
Foster and Thrive Lubricating Tears Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicStrategic Sourcing Services LLC70677-116070677-1160-01—
Foster and Thrive Dry Eye Reliefpolyethylene glycol 400Polyethylene glycol 400 1 g/100mLSolution/ dropsOphthalmicStrategic Sourcing Services LLC70677-115770677-1157-01—
Foster and Thrive Advanced Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hclTetrahydrozoline hydrochloride .05 g/100mL; Polyethylene glycol 400 1 g/100mLSolution/ dropsOphthalmicStrategic Sourcing Services LLC70677-115870677-1158-01—
Equaline Multi-Symptom Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicUnited Natural Foods, Inc.83455-20783455-0207-01—
Rite Aid Eye Drops Dry Eye Reliefglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolutionOphthalmicRite Aid Corporation11822-106711822-1067-02—
Core Values Eye Drops Dry Eye Reliefglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicLiberty Procurement Co. Inc.63940-03563940-0035-01—
Discount Drug Mart Eye Drops Dry Eye Reliefglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicDiscount Drug Mart53943-03253943-0032-01—
HEB Dry Eye Eye Dropsglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicHEB37808-74837808-0748-01—
Discount Drug Mart Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicDiscount Drug Mart, Inc.53943-42253943-0422-01—
HEB Advanced Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicHEB Grocery Company, LP37808-78637808-0786-01—
CVS Advanced Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicCVS Pharmacy, Inc.51316-12951316-0129-01—
Best Choice Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicValu Merchandisers, Co.63941-94263941-0942-15—
Core Values Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicLiberty Procurement Co., Inc.63940-34463940-0344-01—
Kroger Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicKroger Company30142-83630142-0836-01—
Harris Teeter Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicHarris Teeter, LLC69256-66269256-0662-01—
Publix Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicPublix Super Markets, Inc.56062-08456062-0084-01—
Equaline Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicUnited Natural Foods, Inc.41163-33841163-0338-01—
Equate Multi-Symptom Relief Eye Dropspolyethylene glycol 400,tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicWalmart, Inc.79903-15979903-0159-05—
Rite Aid Multi-Symptom Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicRite Aid Corporation11822-027711822-0277-01—
CVS Hydration Eye Dropspolyetylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicCVS51316-61551316-0615-10—
Meijer Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateTetrahydrozoline hydrochloride .05 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicMeijer, Inc.79481-025079481-0250-01—
Rite Aid Hydration Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicRite Aid Corporation11822-020311822-0203-01—
Anubis Barcelona Protective Lineethylhexyl methoxycinnamate, butyl methoxydibenzoylmethane, ethylhexyl salicylate, octocryleneOctinoxate 3.5982 g/50mL + 27 more ingredientsCreamTopicalANUBIS COSMETICS SL83021-68683021-0686-50—
AnubisMedazelaic acid, salicylic acidAzelaic acid 7 g/50mL + 6 more ingredientsLiquidTopicalANUBIS COSMETICS SL83021-40283021-0402-50—

Polyethylene glycol 400: common questions

Which drugs contain Polyethylene glycol 400?
Visine Red Eye Hydrating Comfort Eye Drops, GoodSense Eye Drops Advanced Relief Moisturizer, AnubisMed, Equate Lubricant Eye Drops, Systane Hydration PF Preservative Free, Visine Dry Eye Relief, Dr.Harry EYES PROTECTION, Retaine Ultra PF, and others listed above.
Is there a J-code for Polyethylene glycol 400?
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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