GloStrips (rose bengal sodium) NDC 51801-004

NDC codes

FDA NDC Directory

Product NDC (as listed)51801-004Labeler and product segments. Claims need a package NDC.

Product NDC at billing width51801-0004Add 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
51801-004-40	51801000440	100 POUCH in 1 CARTON (51801-004-40) / 1 STRIP in 1 POUCHMarketed from Aug 20, 2013

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): GloStrips
Generic name (nonproprietary): rose bengal sodium
Active ingredients: Rose bengal sodium — 1.3 mg/1
Dosage form: Strip
Route: Ophthalmic
Labeler: Nomax Inc.
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Aug 20, 2013
Listing expires: Dec 31, 2026
Identifiers: Product ID 51801-004_77d8ad19-ba34-4cd0-9e87-acb2cb9d96b9SPL ID 77d8ad19-ba34-4cd0-9e87-acb2cb9d96b9SPL set ID 4d5107c6-5077-4006-994f-1cd351775b80UNII 956575SN5L

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

N451801000440 followed by a unit qualifier and the quantity

Package 51801-0004-40. 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 Dec 23, 2019.

Indications (excerpt from the label)

INDICATIONS Rose Bengal ophthalmic strips are used as a diagnostic agent in routine ocular examinations or when superficial conjunctiva or corneal tissue change is suspected. Rose Bengal ophthalmic strips can also serve as an effective aid in the diagnosis of keratoconjunctivitis sicca, keratitis, abrasions or corrosions as well as the detection of foreign bodies.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)