NDC codes

FDA NDC Directory
Product NDC (as listed)24208-537Labeler and product segments. Claims need a package NDC.
Product NDC at billing width24208-0537Add 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
24208-537-01242080537011 AMPULE in 1 CARTON (24208-537-01) / .4 mL in 1 AMPULEMarketed from May 1, 2019 · Sample package
24208-537-05242080537051 BOTTLE, DROPPER in 1 CARTON (24208-537-05) / 5 mL in 1 BOTTLE, DROPPERMarketed from Sep 25, 2020
24208-537-08242080537081 BOTTLE, DROPPER in 1 CARTON (24208-537-08) / 2.5 mL in 1 BOTTLE, DROPPERMarketed from Dec 22, 2017
24208-537-10242080537101 AMPULE in 1 CARTON (24208-537-10) / .4 mL in 1 AMPULEMarketed from May 1, 2019 · Sample package
24208-537-15242080537152 BOTTLE, DROPPER in 1 CARTON (24208-537-15) / 7.5 mL in 1 BOTTLE, DROPPERMarketed from Apr 30, 2019
24208-537-25242080537251 BOTTLE, DROPPER in 1 CARTON (24208-537-25) / 7.5 mL in 1 BOTTLE, DROPPERMarketed from Dec 22, 2017
24208-537-35242080537351 BOTTLE, DROPPER in 1 CARTON (24208-537-35) / 3.5 mL in 1 BOTTLE, DROPPERMarketed from May 2, 2023
24208-537-75242080537751 BOTTLE, DROPPER in 1 CARTON (24208-537-75) / 7.5 mL in 1 BOTTLE, DROPPERMarketed from Dec 22, 2017
24208-537-99242080537991 BOTTLE, DROPPER in 1 CARTON (24208-537-99) / 2.5 mL in 1 BOTTLE, DROPPERMarketed from Dec 22, 2017

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
LUMIFY Redness Reliever Eye Drops
Generic name (nonproprietary)
brimonidine tartrate
Active ingredients
Brimonidine tartrate — .25 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208144
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 24208-537_4e5af967-1d35-5b67-e063-6294a90a9296SPL ID 4e5af967-1d35-5b67-e063-6294a90a9296SPL set ID 022de945-0b26-40ae-8e88-d3fe2464d106RxCUI 1999016, 1999021UNII 4S9CL2DY2H
Pharmacologic class
alpha-Adrenergic Agonist

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

N424208053701 followed by a unit qualifier and the quantity

Package 24208-0537-01. 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)

Use relieves redness of the eye due to minor eye irritations

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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