Over-the-counter drug · OTC MONOGRAPH DRUG
Discount Drug Mart Eye Drops A.C. NDC 53943-062
tetrahydrozoline hcl, zinc sulfate · Tetrahydrozoline hydrochloride .05 g/100mL; Zinc sulfate .25 g/100mL · Solution · Ophthalmic · Discount Drug Mart
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 53943-062-01 | 53943006201 | 1 BOTTLE, DROPPER in 1 CARTON (53943-062-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from Mar 22, 2023 |
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)
- Discount Drug Mart Eye Drops A.C.
- Generic name (nonproprietary)
- tetrahydrozoline hcl, zinc sulfate
- Active ingredients
- Tetrahydrozoline hydrochloride — .05 g/100mLZinc sulfate — .25 g/100mL
- Dosage form
- Solution
- Route
- Ophthalmic
- Labeler
- Discount Drug Mart
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Other FDA classes
- Decreased Copper Ion Absorption (Physiologic effect)
- Identifiers
- Product ID 53943-062_47451eaa-897d-aa74-e063-6394a90ae040SPL ID 47451eaa-897d-aa74-e063-6394a90ae040SPL set ID f5f1d3da-5300-8211-e053-2a95a90a323aRxCUI 1043249UNII 0YZT43HS7D, 89DS0H96TBUPC 0093351011580
- Pharmacologic class
- Copper Absorption Inhibitor
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
N453943006201followed by a unit qualifier and the quantityPackage 53943-0062-01. 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)
Use for temporary relief of discomfort and redness of the eye due to minor eye irritation
Excerpt only. Read the full label for complete information.
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 |
|---|---|---|---|---|
| Rite Aid Hydration Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Rite Aid Corporation | 11822-0203 |
| Sootheglycerin and propylene glycol | Glycerin 6 mg/mL; Propylene glycol 6 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-495 |
| Family Wellness Original Redness Relief Eye Dropstetrahydrozoline hcl | Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Family Dollar Services, Inc. | 55319-907 |
| Altachlore Sodium Chloride Hypertonicitysodium chloride | Sodium chloride 50 mg/mL | Solution/ dropsOphthalmic | Altaire Pharmaceuticals Inc. | 59390-183 |
| Vista Gonio Eye Lubricanthypromellose ophthalmic solution | Hypromellose 2208 (100 mpa.s) 25 mg/15mL | SolutionOphthalmic | Red Wedding LLC | 77790-022 |
| Archies Dry Eye Reliefpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Archie's Remedies | 83737-001 |
| Revitalize Energizing Eye Dropsnaphazoline hydrochloride ,propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Revitalize Energy Inc. | 82864-001 |
| Soothe XPlight mineral oil and mineral oil | Light mineral oil 10 mg/mL; Mineral oil 45 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-490 |
| Xpect Eyewasheyewash | Water .984 mL/mL | SolutionOphthalmic | Cintas Corporation | 42961-231 |
| Family Wellness Advanced Redness Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl | Polyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Family Dollar Services, Inc. | 55319-906 |
| Eye Love Heyedrate Long Lasting Hydrationglycerin, povidone | Povidone .25 g/100mL; Glycerin .63 g/100mL | Solution/ dropsOphthalmic | Physician Recommended Neutraceuticals, L.P. | 83201-002 |
| SilkTearsglycerin ophthalmic solution | Glycerin 2 mg/1000mL | Solution/ dropsOphthalmic | SilkTears | 85837-0001 |
| Vis Guard Lubricant EyeOintment PMmineral oil, white petrolatum ointment | Petrolatum 830 mg/g; Light mineral oil 150 mg/g | OintmentOphthalmic | Ulai Health LLC | 73057-510 |
| Advanced Eye Relief Eye Washwater solution | Water 99.05 mL/100mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-005 |
| Exchange Select High Performance Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Army and Air Force Exchange Service | 55301-347 |
| Sodium Chloride Normal Saltsodium chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals | 58657-118 |
| Ancient Secrets Breathe Againsodium chloride | Sodium chloride 20 mg/100mL | Aerosol, SprayNasal | LOTUS BRANDS, INC. | 76328-100 |
| Biotrue Hydration Boostglycerin | Glycerin 5 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-006 |
| Sodium Chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals, LLC | 58657-119 |
| CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | CVS | 69842-746 |
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