Over-the-counter drug · OTC MONOGRAPH DRUG
GoodSense Eye Drops Advanced Relief Moisturizer NDC 50804-130
dextran, polyethylene glycol 400, povidone, tetrahydrozoline hcl · Polyethylene glycol 400 1 g/100mL + 3 more ingredients · Solution · Ophthalmic · Geiss, Derstin & Dunn, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)50804-130Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50804-0130Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50804-130-01 | 5080401300150804013001 | 1 CARTON in 1 CARTON (50804-130-01) / 15 mL in 1 CARTONMarketed from Jan 2, 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)
- GoodSense Eye Drops Advanced Relief Moisturizer
- Generic name (nonproprietary)
- dextran, polyethylene glycol 400, povidone, tetrahydrozoline hcl
- Active ingredients
- Polyethylene glycol 400 — 1 g/100mLTetrahydrozoline hydrochloride — .05 g/100mLPovidone — 1 g/100mLDextran 70 — .1 g/100mL
- Dosage form
- Solution
- Route
- Ophthalmic
- Labeler
- Geiss, Derstin & Dunn, Inc.NDC labeler code 50804
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Other FDA classes
- Increased Intravascular Volume (Physiologic effect)Osmotic Activity (Mechanism)
- Identifiers
- Product ID 50804-130_47450d1c-db32-92cd-e063-6394a90a0703SPL ID 47450d1c-db32-92cd-e063-6394a90a0703SPL set ID 9b34de99-13df-201a-e053-2a95a90ae559RxCUI 996202UNII B697894SGQ, 0YZT43HS7D, FZ989GH94E, 7SA290YK68UPC 0180410000194
- Pharmacologic class
- Plasma Volume Expander
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
N450804013001followed by a unit qualifier and the quantityPackage 50804-0130-01. 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)
Uses relieves redness of the eye due to minor eye irritations as a lubricant to prevent further irritation or to relieve dryness of the eye
Excerpt only. Read the full label for complete information.
About NDC 50804-130
- What is NDC 50804-130?
- 50804-130 is the product NDC for GoodSense Eye Drops Advanced Relief Moisturizer, Polyethylene glycol 400 1 g/100mL + 3 more ingredients solution, listed with the FDA by Geiss, Derstin & Dunn, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- GoodSense Eye Drops Advanced Relief Moisturizer (Dextran, polyethylene glycol 400, povidone, tetrahydrozoline HCl).
- What is the active ingredient?
- Polyethylene glycol 400, Tetrahydrozoline hydrochloride, Povidone, Dextran 70.
- Who is the labeler?
- Geiss, Derstin & Dunn, Inc., NDC labeler code 50804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for GoodSense Eye Drops Advanced Relief Moisturizer?
- 2 other product NDCs are listed under this name. See all GoodSense Eye Drops Advanced Relief Moisturizer NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other GoodSense Eye Drops Advanced Relief Moisturizer products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| GoodSense Eye Drops Advanced Relief Moisturizerdextran, polyethylene glycol 400, povidone, tetrahydrozoline hcl | Polyethylene glycol 400 1 g/100mL + 3 more ingredients | SolutionOphthalmic | Sportpharm LLC | 85766-165 | 85766-0165-15 |
| GoodSense Eye Drops Advanced Relief Moisturizerdextran, polyethylene glycol 400, povidone, tetrahydrozoline hcl | Polyethylene glycol 400 1 g/100mL + 3 more ingredients | SolutionOphthalmic | Preferred PHarmaceuticals Inc. | 68788-8635 | 68788-8635-01 |
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 |
|---|---|---|---|---|
| Walgreens Eye Drops Maximum Redness Relief 15mLglycerin, naphazoline hci | Naphazoline hydrochloride .03 g/100mL; Glycerin .5 g/100mL | Solution/ dropsOphthalmic | Walgreen Company | 0363-4546 |
| Vista Gonio Eye Lubricanthypromellose ophthalmic solution | Hypromellose 2208 (100 mpa.s) 25 mg/15mL | SolutionOphthalmic | Red Wedding LLC | 77790-022 |
| Capasil Pain Relievingmenthol, methyl salicylate | Methyl salicylate 100 mg/mL; Menthol 20 mg/mL | CreamTopical | PureTek Corporation | 59088-434 |
| Rugby Eye Washwater, purified | Water 99.05 g/100mL | SolutionOphthalmic | A-S Medication Solutions | 50090-7440 |
| DG Original Eye Dropstetrahydrozoline hcl | Tetrahydrozoline hydrochloride .05 g/100mL | SolutionOphthalmic | Dolgencorp LLC | 55910-363 |
| TopCare Health Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Topcare Associates LLC | 76162-089 |
| VitaPhyte Lubricating Eye Dropslubricating eye drops | Carboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mL | SolutionOphthalmic | Guangzhou Liyan Cosmetics Technology Co., Ltd. | 87770-008 |
| VISTA Hypromellose Dry Eye Reliefhypromellose | Hypromellose 2910 (50 mpa.s) .3 g/mL | GelOphthalmic | Red Wedding LLC | 77790-002 |
| EyS Eye Washwater | Water 14.85 mL/15mL | SolutionOphthalmic | Eyes-Plus LLC | 57349-220 |
| DG Health Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl | Povidone, Unspecified 1 g/100mL + 3 more ingredients | SolutionOphthalmic | Dolgencorp LLC | 55910-361 |
| Fendall 2000 Pure Flowpurified water | Water 98.6 L/100L | LiquidOphthalmic | Honeywell Safety Products USA, Inc. | 0498-0631 |
| VISTA MEIBO TEARS Propylene Glycol 0.6% w/v Advanced Dry Eye Relief Lubricating Drops 10 mlpropylene glycol | Propylene glycol .6 g/100mL | LiquidOphthalmic | Red Wedding LLC | 77790-003 |
| VitaPhyte Lubricant Eye Dropslubricant eye drops | Carboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mL | SolutionOphthalmic | Guangzhou Liyan Cosmetics Technology Co., Ltd. | 87770-020 |
| DG Health Dry Eye Reliefglycerin, hypromellose, polypropylene glycol 400 | Polyethylene glycol 400 1 g/100mL + 2 more ingredients | SolutionOphthalmic | Dolgencorp LLC | 55910-362 |
| Optaseglycerin | Glycerin 2 mg/mL | Solution/ dropsOphthalmic | Scope Health Inc | 72972-002 |
| Rippleglycerin, povidone | Glycerin .63 g/100mL; Povidone .25 g/100mL | Solution/ dropsOphthalmic | CorneaCare Inc | 82875-003 |
| Salinenasal | Sodium chloride 6.5 mg/mL | SprayNasal | GERI-CARE PHARMACEUTICAL CORP | 57896-333 |
| Signature Care Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-705 |
| Optaseglycerin | Glycerin 1 mg/mL | SprayOphthalmic | Scope Health Inc | 72972-001 |
| Discount Drug Mart Eye Drops Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfate | Zinc sulfate .25 g/100mL + 2 more ingredients | Solution/ dropsOphthalmic | Discount Drug Mart, Inc. | 53943-490 |
Showing 20 of 40.