NDC codes

FDA NDC Directory
Product NDC (as listed)24208-734Labeler and product segments. Claims need a package NDC.
Product NDC at billing width24208-0734Add 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
24208-734-05242080734051 BOTTLE, GLASS in 1 CARTON (24208-734-05) / 5 mL in 1 BOTTLE, GLASSMarketed from Mar 20, 2020

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)
Fluorescein Sodium and Benoxinate Hydrochloride
Generic name (nonproprietary)
fluorescein sodium and benoxinate hydrochloride
Active ingredients
Fluorescein sodium — 2.6 mg/mLBenoxinate hydrochloride — 4.4 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 211039
Marketing start
Listing expires
Other FDA classes
Dyes (Mechanism)
Identifiers
Product ID 24208-734_34f4eb14-b40e-1d6d-e063-6394a90a3e3bSPL ID 34f4eb14-b40e-1d6d-e063-6394a90a3e3bSPL set ID 1797c5ef-66c4-4cf8-b62d-b484242be2eeRxCUI 2287005UNII 93X55PE38X, 0VE4U49K15
Pharmacologic class
Diagnostic Dye

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

N424208073405 followed by a unit qualifier and the quantity

Package 24208-0734-05. 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 .

Indications (excerpt from the label)

Fluorescein Sodium and Benoxinate Hydrochloride Ophthalmic Solution, 0.3%/0.4% is indicated for ophthalmic procedures in adult and pediatric patients requiring a disclosing agent in combination with a topical ophthalmic anesthetic agent. Fluorescein Sodium and Benoxinate Hydrochloride Ophthalmic Solution, 0.3%/0.4% is a combination of fluorescein sodium, a disclosing agent and benoxinate hydrochloride, a local ester anesthetic indicated for procedures in adult and pediatric patients requiring a disclosing agent in combination with a topical ophthalmic anesthetic. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 211039

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 211039
ProductStrengthForm · routeLabelerProduct NDC
Fluorescein Sodium and Benoxinate HydrochlorideFluorescein sodium 2.6 mg/mL; Benoxinate hydrochloride 4.4 mg/mLSolution/ dropsOphthalmicBausch & Lomb Americas Inc.82260-734

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