NDC codes

FDA NDC Directory
Product NDC (as listed)0781-7186Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00781-7186Add 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 NDC11-digit (billing)PackageCopy
0781-7186-70007817186701 BOTTLE in 1 CARTON (0781-7186-70) / 10 mL in 1 BOTTLEMarketed from Apr 13, 2022
0781-7186-75007817186751 BOTTLE in 1 CARTON (0781-7186-75) / 5 mL in 1 BOTTLEMarketed from Apr 13, 2022
0781-7186-85007817186851 BOTTLE in 1 CARTON (0781-7186-85) / 15 mL in 1 BOTTLEMarketed from Apr 13, 2022

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)
Brimonidine Tartrate and Timolol Maleate
Generic name (nonproprietary)
brimonidine tartrate and timolol maleate
Active ingredients
Brimonidine tartrate — 2 mg/mLTimolol maleate — 5 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
Sandoz Inc
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091087
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Antagonists (Mechanism)
Identifiers
Product ID 0781-7186_0b872a04-2f4a-4f0b-9fd9-d5151b36217eSPL ID 0b872a04-2f4a-4f0b-9fd9-d5151b36217eSPL set ID af21d2e5-0029-4889-ba93-6417baa91ce6RxCUI 861635UNII 4S9CL2DY2H, P8Y54F701R
Pharmacologic class
alpha-Adrenergic Agonist; beta-Adrenergic Blocker

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

N400781718670 followed by a unit qualifier and the quantity

Package 00781-7186-70. 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 .

Indications (excerpt from the label)

Brimonidine tartrate and timolol maleate ophthalmic solution, 0.2%/0.5% is indicated for the reduction of elevated intraocular pressure (IOP) in patients with glaucoma or ocular hypertension who require adjunctive or replacement therapy due to inadequately controlled IOP. The IOP-lowering of brimonidine tartrate and timolol maleate ophthalmic solution, 0.2%/0.5% dosed twice a day was slightly less than that seen with the concomitant administration of 0.5% timolol maleate ophthalmic solution dosed twice a day and 0.2% brimonidine tartrate ophthalmic solution dosed three times per day. Brimonidine tartrate and timolol maleate ophthalmic solution, 0.2%/0.5% is a combination of brimonidine tartr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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