What is NDC 50090-7119?

50090-7119 is the product NDC for Polyvinyl Alcohol, Polyvinyl alcohol 14 mg/mL solution/ drops, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.

A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Polyvinyl Alcohol?

1 other product NDC are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Polyvinyl Alcohol NDC 50090-7119 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-7119Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-7119Add 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
50090-7119-0	50090711900	15 mL in 1 BOTTLE (50090-7119-0)Marketed from Mar 19, 2024

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): Polyvinyl Alcohol
Generic name (nonproprietary): polyvinyl alcohol
Active ingredients: Polyvinyl alcohol — 14 mg/mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: A-S Medication SolutionsNDC labeler code 50090
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Jan 5, 2023
Listing expires: Dec 31, 2026
Identifiers: Product ID 50090-7119_f9bfe960-da7e-40f4-9242-3d9008311473SPL ID f9bfe960-da7e-40f4-9242-3d9008311473SPL set ID c77589fd-f68d-48b7-bd12-51f6b4cc9402RxCUI 142004UNII 532B59J990

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

N450090711900 followed by a unit qualifier and the quantity

Package 50090-7119-00. 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 20, 2024.

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

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-7119

What is NDC 50090-7119?: 50090-7119 is the product NDC for Polyvinyl Alcohol, Polyvinyl alcohol 14 mg/mL solution/ drops, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Polyvinyl Alcohol.
What is the active ingredient?: Polyvinyl alcohol.
Who is the labeler?: A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Polyvinyl Alcohol?: 1 other product NDC are listed under this name. See all Polyvinyl Alcohol NDCs.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Polyvinyl Alcohol NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Polyvinyl Alcohol	Polyvinyl alcohol 14 mg/mL	Solution/ dropsOphthalmic	AvPAK	50268-678	50268-0678-15

Other NDCs under M 018

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

FDA NDC Directory listings under M 018
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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