Lumify Preservative Free Eye Drops NDC 24208-538

NDC codes

FDA NDC Directory

Product NDC (as listed)24208-538Labeler and product segments. Claims need a package NDC.

Product NDC at billing width24208-0538Add 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
24208-538-05	24208053805	5 AMPULE in 1 POUCH (24208-538-05) / .4 mL in 1 AMPULEMarketed from Jan 1, 2025 · Sample package
24208-538-20	24208053820	4 POUCH in 1 CARTON (24208-538-20) / 5 AMPULE in 1 POUCH / .4 mL in 1 AMPULEMarketed from Jan 1, 2025

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 Preservative Free Eye Drops
Generic name (nonproprietary): brimonidine tartrate
Active ingredients: Brimonidine tartrate — .25 mg/mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: Bausch & Lomb Incorporated
Product type: Over-the-counter drug
Marketing category: NDA — New Drug ApplicationApplication NDA 218424
Marketing start: Jan 1, 2025
Listing expires: Dec 31, 2027
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)
Identifiers: Product ID 24208-538_4d3fafb9-c501-72f3-e063-6294a90ab3e9SPL ID 4d3fafb9-c501-72f3-e063-6294a90ab3e9SPL set ID ef5974b9-946c-4983-80e3-32b3aa28c207RxCUI 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

N424208053805 followed by a unit qualifier and the quantity

Package 24208-0538-05. 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 Mar 17, 2026.

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)