Over-the-counter drug · OTC MONOGRAPH DRUG
LubriFresh PM (Light mineral oil, white petrolatum) NDC 11716-7540
Light mineral oil 150 mg/g; White petrolatum 830 mg/g · Ointment · Ophthalmic · Hanlim Pharm Co. , LTD
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11716-7540-1 | 1171675400111716754001 | 1 TUBE in 1 BOX (11716-7540-1) / 3.5 g in 1 TUBEMarketed from Jul 21, 2025 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- LubriFresh PM
- Generic name (nonproprietary)
- light mineral oil, white petrolatum
- Active ingredients
- Light mineral oil — 150 mg/gWhite petrolatum — 830 mg/g
- Dosage form
- Ointment
- Route
- Ophthalmic
- Labeler
- Hanlim Pharm Co. , LTDNDC labeler code 11716
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 11716-7540_3b32b603-a3ca-586c-e063-6294a90aedd1SPL ID 3b32b603-a3ca-586c-e063-6294a90aedd1SPL set ID 3b329232-a562-6893-e063-6394a90aa41fRxCUI 746083, 1086613UNII N6K5787QVP, B6E5W8RQJ4UPC 0309047540129
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
N411716754001followed by a unit qualifier and the quantityPackage 11716-7540-01. 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 .
Indications (excerpt from the label)
for the temporary relief of burning, irritation, and discomfort due to dryness of the eye or exposure to wind or sun may be used as a protectant against further irritation
Excerpt only. Read the full label for complete information.
About NDC 11716-7540
- What is NDC 11716-7540?
- 11716-7540 is the product NDC for LubriFresh PM, Light mineral oil 150 mg/g; White petrolatum 830 mg/g ointment, listed with the FDA by Hanlim Pharm Co. , LTD. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- LubriFresh PM (Light Mineral Oil, White Petrolatum).
- What is the active ingredient?
- Light mineral oil, White petrolatum.
- Who is the labeler?
- Hanlim Pharm Co. , LTD, NDC labeler code 11716. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for LubriFresh PM?
- 1 other product NDC are listed under this name. See all LubriFresh PM NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other LubriFresh PM products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| LubriFresh PMlight mineral oil, white petrolatum | Light mineral oil 150 mg/g; White petrolatum 830 mg/g | OintmentOphthalmic | Major Pharmaceuticals | 0904-7540 | 00904-7540-12 |
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 |
|---|---|---|---|---|
| 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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