Over-the-counter drug · OTC MONOGRAPH DRUG
Systane Day and Night Value Pack NDC 0065-1502
polyethylene glycol 400, propylene glycol 0.3% · Kit · Alcon Laboratories, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)0065-1502Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00065-1502Add the package segment from the table below.
Product information
- Brand name (proprietary)
- Systane Day and Night Value Pack
- Generic name (nonproprietary)
- polyethylene glycol 400, propylene glycol 0.3%
- Dosage form
- Kit
- Labeler
- Alcon Laboratories, Inc.
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 0065-1502_90134f50-ea64-4651-a2c0-afa48e09f129SPL ID 90134f50-ea64-4651-a2c0-afa48e09f129SPL set ID df13ca6f-7ce1-455a-ae13-9bbc5e9d2e07RxCUI 477589, 895753, 1989901
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.
Product label
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Uses temporary relief of burning and irritation due to dryness of the eye temporarily relieves discomfort due to minor irritations of the eye or to exposure to wind or sun
Excerpt only. Read the full label for complete information.
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 |
|---|---|---|---|---|
| Rite Aid Hydration Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Rite Aid Corporation | 11822-0203 |
| Sootheglycerin and propylene glycol | Glycerin 6 mg/mL; Propylene glycol 6 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-495 |
| Family Wellness Original Redness Relief Eye Dropstetrahydrozoline hcl | Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Family Dollar Services, Inc. | 55319-907 |
| Altachlore Sodium Chloride Hypertonicitysodium chloride | Sodium chloride 50 mg/mL | Solution/ dropsOphthalmic | Altaire Pharmaceuticals Inc. | 59390-183 |
| Vista Gonio Eye Lubricanthypromellose ophthalmic solution | Hypromellose 2208 (100 mpa.s) 25 mg/15mL | SolutionOphthalmic | Red Wedding LLC | 77790-022 |
| Archies Dry Eye Reliefpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Archie's Remedies | 83737-001 |
| Revitalize Energizing Eye Dropsnaphazoline hydrochloride ,propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Revitalize Energy Inc. | 82864-001 |
| Soothe XPlight mineral oil and mineral oil | Light mineral oil 10 mg/mL; Mineral oil 45 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-490 |
| Xpect Eyewasheyewash | Water .984 mL/mL | SolutionOphthalmic | Cintas Corporation | 42961-231 |
| Family Wellness Advanced Redness Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl | Polyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Family Dollar Services, Inc. | 55319-906 |
| Eye Love Heyedrate Long Lasting Hydrationglycerin, povidone | Povidone .25 g/100mL; Glycerin .63 g/100mL | Solution/ dropsOphthalmic | Physician Recommended Neutraceuticals, L.P. | 83201-002 |
| SilkTearsglycerin ophthalmic solution | Glycerin 2 mg/1000mL | Solution/ dropsOphthalmic | SilkTears | 85837-0001 |
| Vis Guard Lubricant EyeOintment PMmineral oil, white petrolatum ointment | Petrolatum 830 mg/g; Light mineral oil 150 mg/g | OintmentOphthalmic | Ulai Health LLC | 73057-510 |
| Advanced Eye Relief Eye Washwater solution | Water 99.05 mL/100mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-005 |
| Exchange Select High Performance Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Army and Air Force Exchange Service | 55301-347 |
| Sodium Chloride Normal Saltsodium chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals | 58657-118 |
| Ancient Secrets Breathe Againsodium chloride | Sodium chloride 20 mg/100mL | Aerosol, SprayNasal | LOTUS BRANDS, INC. | 76328-100 |
| Biotrue Hydration Boostglycerin | Glycerin 5 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-006 |
| Sodium Chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals, LLC | 58657-119 |
| CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | CVS | 69842-746 |
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