What is NDC 0363-4551?

0363-4551 is the product NDC for Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack, Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL solution/ drops, listed with the FDA by Walgreen Company. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack (Polyethylene glycol 400, Propylene glycol).

What is the active ingredient?

Polyethylene glycol 400, Propylene glycol.

Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack?

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.

NDC 0363-4551

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-4551Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-4551Add 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
0363-4551-01	0036345510100363455101	1 BOTTLE, DROPPER in 1 BOX (0363-4551-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from Oct 15, 2019
0363-4551-02	0036345510200363455102	2 BOTTLE, DROPPER in 1 BOX (0363-4551-02) / 15 mL in 1 BOTTLE, DROPPERMarketed from Oct 15, 2019

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): Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack
Generic name (nonproprietary): polyethylene glycol 400, propylene glycol
Active ingredients: Polyethylene glycol 400 — .4 g/100mLPropylene glycol — .3 g/100mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: Walgreen CompanyNDC labeler code 0363
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Oct 15, 2019
Listing expires: Dec 31, 2026
Identifiers: Product ID 0363-4551_0cf9c381-f52d-a547-e063-6394a90af8bdSPL ID 0cf9c381-f52d-a547-e063-6394a90af8bdSPL set ID 94f6e1cd-073c-61ca-e053-2a95a90ae725RxCUI 477589UNII B697894SGQ, 6DC9Q167V3UPC 0311917203003, 0311917203010

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

N400363455101 followed by a unit qualifier and the quantity

Package 00363-4551-01. 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

Current FDA label (SPL), effective Dec 20, 2023.

Indications (excerpt from the label)

Use • for the temporary relief of burning and irritation due to dryness of the eye

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-4551

What is NDC 0363-4551?: 0363-4551 is the product NDC for Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack, Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL solution/ drops, listed with the FDA by Walgreen Company. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack (Polyethylene glycol 400, Propylene glycol).
What is the active ingredient?: Polyethylene glycol 400, Propylene glycol.
Who is the labeler?: Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack?: 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
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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Walgreens Lubricant Eye Drops Dry Eye 15mL and twin pack NDC 0363-4551