What is NDC 0065-1507?

0065-1507 is the product NDC for Systane Ultra Preservative Free, Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL solution/ drops, listed with the FDA by Alcon Laboratories, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Systane Ultra Preservative Free (Polyethylene Glycol 400 and Propylene Glycol).

What is the active ingredient?

Polyethylene glycol 400, Propylene glycol.

Alcon Laboratories, Inc., NDC labeler code 0065. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Systane Ultra Preservative Free?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Systane Ultra Preservative Free NDC 0065-1507

NDC codes

FDA NDC Directory

Product NDC (as listed)0065-1507Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00065-1507Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
0065-1507-82	00065150782	1 BOTTLE, DROPPER in 1 CARTON (0065-1507-82) / 10 mL in 1 BOTTLE, DROPPERMarketed from Feb 15, 2022
0065-1507-92	00065150792	2 BOTTLE, DROPPER in 1 CARTON (0065-1507-92) / 10 mL in 1 BOTTLE, DROPPERMarketed from Apr 11, 2023

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): Systane Ultra Preservative Free
Generic name (nonproprietary): polyethylene glycol 400 and propylene glycol
Active ingredients: Polyethylene glycol 400 — 4 mg/mLPropylene glycol — 3 mg/mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: Alcon Laboratories, Inc.NDC labeler code 0065
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Feb 15, 2022
Listing expires: Dec 31, 2026
Identifiers: Product ID 0065-1507_c459712f-30d9-4084-a6ff-f157d6e604a9SPL ID c459712f-30d9-4084-a6ff-f157d6e604a9SPL set ID 751fb85f-6683-4b0a-a650-324d4a74c5deRxCUI 477589UNII B697894SGQ, 6DC9Q167V3

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

N400065150782 followed by a unit qualifier and the quantity

Package 00065-1507-82. 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

Current FDA label (SPL), effective Jul 30, 2025.

Indications (excerpt from the label)

Uses for the temporary relief of burning and irritation due to dryness of the eye for the temporary relief of discomfort due to minor irritations of the eye or to exposure to wind or sun

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0065-1507

What is NDC 0065-1507?: 0065-1507 is the product NDC for Systane Ultra Preservative Free, Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL solution/ drops, listed with the FDA by Alcon Laboratories, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Systane Ultra Preservative Free (Polyethylene Glycol 400 and Propylene Glycol).
What is the active ingredient?: Polyethylene glycol 400, Propylene glycol.
Who is the labeler?: Alcon Laboratories, Inc., NDC labeler code 0065. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Systane Ultra Preservative Free?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 018

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 018
Product	Strength	Form · route	Labeler	Product NDC
Medi-First Lubricant Eye Dropscarboxymethylcellulose sodium	Carboxymethylcellulose sodium, Unspecified form .5 g/100mL	SolutionOphthalmic	Unifirst First Aid Corporation	47682-193
Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycol	Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL	Solution/ dropsOphthalmic	Better Living Brands LLC	21130-702
Walgreens Lubricant Eye Drops High Performance 15mL and twin packpolyethylene glycol 400, propylene glycol	Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL	Solution/ dropsOphthalmic	Walgreen Company	0363-4549
Plus Rinse Emergency Eyewashpurified water	Water 99.1 mL/100mL	LiquidOphthalmic	INNOVATIVE SAFETY SUPPLY INC.	72598-022
Sunmark Lubricant Eye Dropspolypropylene glycol 400, propylene glycol	Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL	Solution/ dropsOphthalmic	Strategic Sourcing Services LLC	49348-947
Refresh Digitalcarboxymethylcellulose sodium, glycerin, polysorbate 80	Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients	Solution/ dropsOphthalmic	Allergan, Inc.	0023-6952
Sodium Chloride Hypertonicity Ophthalmic Solution, 5%	Sodium chloride 50 mg/mL	Solution/ dropsOphthalmic	Reliable 1 Laboritories LLC	69618-077
Walgreens Sterile Soothing Eye Washpurified water	Water 99.05 mL/100mL	LiquidOphthalmic	Walgreens	0363-0700
Sodium Hyaluronate Eye Dropssodium hyaluronate	Sodium hyaluronate .1 g/100g	LiquidOphthalmic	Guangzhou Hechuang Commercial Service Co.,Ltd.	87298-037
Retaine CMCcarboxymethylcellulose sodium	Carboxymethylcellulose sodium, Unspecified 5 mg/mL	Solution/ dropsOphthalmic	OCuSOFT LLC	54799-460
Equate Lubricant Eye Dropscarboxymethylcellulose sodium, glycerin	Carboxymethylcellulose sodium .5 g/100mL; Glycerin .9 g/100mL	Solution/ dropsOphthalmic	Walmart	79903-365
Equate Redness and Dry Eye Reliefglycerin, naphazoline hydrochloride	Glycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mL	SolutionOphthalmic	Walmart	79903-362
Original Redness Relievertetrahydrolizine hcl	Tetrahydrozoline hydrochloride .05 g/100mL	Solution/ dropsOphthalmic	Walmart	79903-363
REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80	Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients	Solution/ dropsOphthalmic	Allergan, Inc.	0023-4230
Best Choice Artificial Tearspolyvinyl alcohol, povidone	Polyvinyl alcohol .5 g/100mL; Povidone .6 g/100mL	Solution/ dropsOphthalmic	Best Choice	63941-015
Dry Eye Reliefcarboxymethylcellulose sodium	Carboxymethylcellulose sodium, Unspecified 10 mg/mL	GelOphthalmic	CARDINAL HEALTH 110, LLC. DBA LEADER	70000-0089
Equate Lubricant Eye Dropscarboxymethylcellulose sodium	Carboxymethylcellulose sodium .5 mg/100mL	Solution/ dropsOphthalmic	Walmart	79903-364
Lubricant Dropscarboxymethylcellulose sodium	Carboxymethylcellulose sodium, Unspecified 5 mg/mL	Solution/ dropsOphthalmic	CARDINAL HEALTH 110, LLC. DBA LEADER	70000-0090
Sodium Chloride Hypertonicity Ophthalmicsodium chloride	Sodium chloride 50 mg/g	OintmentOphthalmic	Rugby Laboratories	0536-1253
Meijer Redness Relieftetrahydrozoline hci	Tetrahydrozoline hydrochloride .05 g/100mL	Solution/ dropsOphthalmic	Meijer Distribution, Inc.	41250-814

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