Over-the-counter drug · OTC MONOGRAPH DRUG
REFRESH Classic (Polyvinyl alcohol, povidone) NDC 0023-0506
Polyvinyl alcohol, Unspecified 14 mg/mL; Povidone 6 mg/mL · Solution/ drops · Ophthalmic · Allergan, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)0023-0506Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00023-0506Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0023-0506-01 | 0002305060100023050601 | 30 VIAL, SINGLE-USE in 1 CARTON (0023-0506-01) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Sep 12, 1985 | |
| 0023-0506-50 | 0002305065000023050650 | 50 VIAL, SINGLE-USE in 1 CARTON (0023-0506-50) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Sep 12, 1985 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- REFRESH Classic
- Generic name (nonproprietary)
- polyvinyl alcohol, povidone
- Active ingredients
- Polyvinyl alcohol, Unspecified — 14 mg/mLPovidone — 6 mg/mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- Allergan, Inc.NDC labeler code 0023
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 0023-0506_58d49977-1915-4473-801d-a28b87b9a328SPL ID 58d49977-1915-4473-801d-a28b87b9a328
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeNo match
No HCPCS code in Med-Code's directory. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N400023050601followed by a unit qualifier and the quantityPackage 00023-0506-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
The FDA listing for this product does not reference a label (SPL) set.
About NDC 0023-0506
- What is NDC 0023-0506?
- 0023-0506 is the product NDC for REFRESH Classic, Polyvinyl alcohol, Unspecified 14 mg/mL; Povidone 6 mg/mL solution/ drops, listed with the FDA by Allergan, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- REFRESH Classic (Polyvinyl Alcohol, Povidone).
- What is the active ingredient?
- Polyvinyl alcohol, Unspecified, Povidone.
- Who is the labeler?
- Allergan, Inc., NDC labeler code 0023. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for REFRESH Classic?
- 1 other product NDC are listed under this name. See all REFRESH Classic NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other REFRESH Classic products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Refresh Classicpolyvinyl alcohol, povidone | Polyvinyl alcohol 14 mg/mL; Povidone 6 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-2358 | 50090-2358-01 |
Other NDCs under M 018
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Walgreens Eye Drops Maximum Redness Relief 15mLglycerin, naphazoline hci | Naphazoline hydrochloride .03 g/100mL; Glycerin .5 g/100mL | Solution/ dropsOphthalmic | Walgreen Company | 0363-4546 |
| Vista Gonio Eye Lubricanthypromellose ophthalmic solution | Hypromellose 2208 (100 mpa.s) 25 mg/15mL | SolutionOphthalmic | Red Wedding LLC | 77790-022 |
| Capasil Pain Relievingmenthol, methyl salicylate | Methyl salicylate 100 mg/mL; Menthol 20 mg/mL | CreamTopical | PureTek Corporation | 59088-434 |
| Rugby Eye Washwater, purified | Water 99.05 g/100mL | SolutionOphthalmic | A-S Medication Solutions | 50090-7440 |
| DG Original Eye Dropstetrahydrozoline hcl | Tetrahydrozoline hydrochloride .05 g/100mL | SolutionOphthalmic | Dolgencorp LLC | 55910-363 |
| TopCare Health Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Topcare Associates LLC | 76162-089 |
| VitaPhyte Lubricating Eye Dropslubricating eye drops | Carboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mL | SolutionOphthalmic | Guangzhou Liyan Cosmetics Technology Co., Ltd. | 87770-008 |
| VISTA Hypromellose Dry Eye Reliefhypromellose | Hypromellose 2910 (50 mpa.s) .3 g/mL | GelOphthalmic | Red Wedding LLC | 77790-002 |
| EyS Eye Washwater | Water 14.85 mL/15mL | SolutionOphthalmic | Eyes-Plus LLC | 57349-220 |
| DG Health Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl | Povidone, Unspecified 1 g/100mL + 3 more ingredients | SolutionOphthalmic | Dolgencorp LLC | 55910-361 |
| Fendall 2000 Pure Flowpurified water | Water 98.6 L/100L | LiquidOphthalmic | Honeywell Safety Products USA, Inc. | 0498-0631 |
| VISTA MEIBO TEARS Propylene Glycol 0.6% w/v Advanced Dry Eye Relief Lubricating Drops 10 mlpropylene glycol | Propylene glycol .6 g/100mL | LiquidOphthalmic | Red Wedding LLC | 77790-003 |
| VitaPhyte Lubricant Eye Dropslubricant eye drops | Carboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mL | SolutionOphthalmic | Guangzhou Liyan Cosmetics Technology Co., Ltd. | 87770-020 |
| DG Health Dry Eye Reliefglycerin, hypromellose, polypropylene glycol 400 | Polyethylene glycol 400 1 g/100mL + 2 more ingredients | SolutionOphthalmic | Dolgencorp LLC | 55910-362 |
| Optaseglycerin | Glycerin 2 mg/mL | Solution/ dropsOphthalmic | Scope Health Inc | 72972-002 |
| Rippleglycerin, povidone | Glycerin .63 g/100mL; Povidone .25 g/100mL | Solution/ dropsOphthalmic | CorneaCare Inc | 82875-003 |
| Salinenasal | Sodium chloride 6.5 mg/mL | SprayNasal | GERI-CARE PHARMACEUTICAL CORP | 57896-333 |
| Signature Care Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-705 |
| Optaseglycerin | Glycerin 1 mg/mL | SprayOphthalmic | Scope Health Inc | 72972-001 |
| Discount Drug Mart Eye Drops Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfate | Zinc sulfate .25 g/100mL + 2 more ingredients | Solution/ dropsOphthalmic | Discount Drug Mart, Inc. | 53943-490 |
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