Over-the-counter drug · OTC MONOGRAPH DRUG
blink tears (Polyethylene glycol 400) NDC 40171-005
Polyethylene glycol 400 2.5 mg/mL · Solution/ drops · Ophthalmic · Bausch & Lomb Incorporated
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 40171-005-05 | 40171000505 | 5 VIAL, SINGLE-USE in 1 CARTON (40171-005-05) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Mar 15, 2016 | |
| 40171-005-25 | 40171000525 | 25 VIAL, SINGLE-USE in 1 CARTON (40171-005-25) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Mar 15, 2016 | |
| 40171-005-36 | 40171000536 | 180 VIAL, SINGLE-USE in 1 CARTON (40171-005-36) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Mar 23, 2016 |
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)
- blink tears
- Generic name (nonproprietary)
- polyethylene glycol 400
- Active ingredients
- Polyethylene glycol 400 — 2.5 mg/mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- Bausch & Lomb IncorporatedNDC labeler code 40171
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 40171-005_2298793e-fe31-cd2b-e063-6394a90ad92bSPL ID 2298793e-fe31-cd2b-e063-6394a90ad92bSPL set ID 10fcf407-6eaf-4730-9ed0-9b7715cf5701RxCUI 853238, 1094102UNII B697894SGQUPC 0340171005054
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
N440171000505followed by a unit qualifier and the quantityPackage 40171-0005-05. 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)
Uses 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 or to relieve dryness of the eye.
Excerpt only. Read the full label for complete information.
About NDC 40171-005
- What is NDC 40171-005?
- 40171-005 is the product NDC for blink tears (polyethylene glycol 400), Polyethylene glycol 400 2.5 mg/mL solution/ drops, listed with the FDA by Bausch & Lomb Incorporated. It has 3 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- blink tears (Polyethylene glycol 400).
- What is the active ingredient?
- Polyethylene glycol 400.
- Who is the labeler?
- Bausch & Lomb Incorporated, NDC labeler code 40171. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for blink tears?
- 1 other product NDC are listed under this name. See all blink tears NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other blink tears products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| blink tearspolyethylene glycol 400 | Polyethylene glycol 400 2.5 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 29943-002 | 29943-0002-0229943-0002-1529943-0002-30 |
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 |
|---|---|---|---|---|
| Medi-First Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium, Unspecified form .5 g/100mL | SolutionOphthalmic | Unifirst First Aid Corporation | 47682-193 |
| Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-702 |
| Walgreens Lubricant Eye Drops High Performance 15mL and twin packpolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Walgreen Company | 0363-4549 |
| Plus Rinse Emergency Eyewashpurified water | Water 99.1 mL/100mL | LiquidOphthalmic | INNOVATIVE SAFETY SUPPLY INC. | 72598-022 |
| Sunmark Lubricant Eye Dropspolypropylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Strategic Sourcing Services LLC | 49348-947 |
| Refresh Digitalcarboxymethylcellulose sodium, glycerin, polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-6952 |
| Sodium Chloride Hypertonicity Ophthalmic Solution, 5% | Sodium chloride 50 mg/mL | Solution/ dropsOphthalmic | Reliable 1 Laboritories LLC | 69618-077 |
| Walgreens Sterile Soothing Eye Washpurified water | Water 99.05 mL/100mL | LiquidOphthalmic | Walgreens | 0363-0700 |
| Sodium Hyaluronate Eye Dropssodium hyaluronate | Sodium hyaluronate .1 g/100g | LiquidOphthalmic | Guangzhou Hechuang Commercial Service Co.,Ltd. | 87298-037 |
| Retaine CMCcarboxymethylcellulose sodium | Carboxymethylcellulose sodium, Unspecified 5 mg/mL | Solution/ dropsOphthalmic | OCuSOFT LLC | 54799-460 |
| Equate Lubricant Eye Dropscarboxymethylcellulose sodium, glycerin | Carboxymethylcellulose sodium .5 g/100mL; Glycerin .9 g/100mL | Solution/ dropsOphthalmic | Walmart | 79903-365 |
| Equate Redness and Dry Eye Reliefglycerin, naphazoline hydrochloride | Glycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mL | SolutionOphthalmic | Walmart | 79903-362 |
| Original Redness Relievertetrahydrolizine hcl | Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Walmart | 79903-363 |
| REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-4230 |
| Best Choice Artificial Tearspolyvinyl alcohol, povidone | Polyvinyl alcohol .5 g/100mL; Povidone .6 g/100mL | Solution/ dropsOphthalmic | Best Choice | 63941-015 |
| Dry Eye Reliefcarboxymethylcellulose sodium | Carboxymethylcellulose sodium, Unspecified 10 mg/mL | GelOphthalmic | CARDINAL HEALTH 110, LLC. DBA LEADER | 70000-0089 |
| Equate Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 mg/100mL | Solution/ dropsOphthalmic | Walmart | 79903-364 |
| Lubricant Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium, Unspecified 5 mg/mL | Solution/ dropsOphthalmic | CARDINAL HEALTH 110, LLC. DBA LEADER | 70000-0090 |
| Sodium Chloride Hypertonicity Ophthalmicsodium chloride | Sodium chloride 50 mg/g | OintmentOphthalmic | Rugby Laboratories | 0536-1253 |
| Meijer Redness Relieftetrahydrozoline hci | Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Meijer Distribution, Inc. | 41250-814 |
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