Eye Allergy Relief NDC 0363-0430

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-0430Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-0430Add 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
0363-0430-15	00363043015	1 BOTTLE, DROPPER in 1 CARTON (0363-0430-15) / 15 mL in 1 BOTTLE, DROPPERMarketed from Aug 31, 2010

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): Eye Allergy Relief
Generic name (nonproprietary): pheniramine maleate and naphazoline hydrochloride
Active ingredients: Naphazoline hydrochloride — .2675 mg/mLPheniramine maleate — 3.15 mg/mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: Walgreen Company
Product type: Over-the-counter drug
Marketing category: NDA — New Drug ApplicationApplication NDA 020065
Marketing start: Aug 31, 2010
Listing expires: Dec 31, 2027
Identifiers: Product ID 0363-0430_48618678-5073-206c-e063-6294a90afb13SPL ID 48618678-5073-206c-e063-6294a90afb13SPL set ID ddd892af-56d0-4755-af87-807ea8f8e9caRxCUI 1043704UNII MZ1131787D, NYW905655B

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

N400363043015 followed by a unit qualifier and the quantity

Package 00363-0430-15. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 020065

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

FDA NDC Directory listings under NDA 020065
Product	Strength	Form · route	Labeler	Product NDC
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochloride	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	Target Corporation	11673-430
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochloride	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	Wal-Mart Stores Inc	49035-430
Opcon-Anaphazoline hydrochloride and pheniramine maleate	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	Bausch & Lomb Incorporated	24208-430
Opcon-Anaphazoline hydrochloride and pheniramine maleate	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	Bausch & Lomb Incorporated	24208-431
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochloride	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	DOLGENCORP, LLC	55910-552
Eye Allergy Reliefnaphazoline hydrochloride and pheniramine maleate	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	CVS PHARMACY	69842-441
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochloride	Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL	Solution/ dropsOphthalmic	Rite Aid Corporation	11822-0552