Over-the-counter drug · OTC MONOGRAPH DRUG
Family Wellness Artificial Tears (Polyvinyl alcohol, povidone) NDC 55319-908
Povidone .6 g/100mL; Polyvinyl alcohol, Unspecified .5 g/100mL · Solution/ drops · Ophthalmic · Family Dollar Services, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 55319-908-01 | 5531909080155319090801 | 1 BOTTLE, DROPPER in 1 BOX (55319-908-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from Aug 12, 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)
- Family Wellness Artificial Tears
- Generic name (nonproprietary)
- polyvinyl alcohol, povidone
- Active ingredients
- Povidone — .6 g/100mLPolyvinyl alcohol, Unspecified — .5 g/100mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- Family Dollar Services, Inc.NDC labeler code 55319
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 55319-908_474528d1-7e7b-a211-e063-6294a90ae3c5SPL ID 474528d1-7e7b-a211-e063-6294a90ae3c5SPL set ID facd329b-1923-61df-e053-6294a90ab738RxCUI 598050UNII FZ989GH94E, 532B59J990UPC 0032251912641
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
N455319090801followed by a unit qualifier and the quantityPackage 55319-0908-01. 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 for use as a protectant against further irritation or to relieve dryness of the eye for the temporary relief of discomfort due to minor irritations of the eye, or to exposure to wind or sun
Excerpt only. Read the full label for complete information.
About NDC 55319-908
- What is NDC 55319-908?
- 55319-908 is the product NDC for Family Wellness Artificial Tears, Povidone .6 g/100mL; Polyvinyl alcohol, Unspecified .5 g/100mL solution/ drops, listed with the FDA by Family Dollar Services, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Family Wellness Artificial Tears (Polyvinyl alcohol, Povidone).
- What is the active ingredient?
- Povidone, Polyvinyl alcohol, Unspecified.
- Who is the labeler?
- Family Dollar Services, Inc., NDC labeler code 55319. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Family Wellness Artificial Tears?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
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 |
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