Over-the-counter drug · OTC MONOGRAPH DRUG
Splash Tears (Hypromellose) NDC 57619-303
Hypromellose 2910 (4000 mpa.s) .2 g/100mL · Solution/ drops · Ophthalmic · LABORATORIOS SOPHIA, S.A. DE C.V.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 57619-303-01 | 57619030301 | 1 BOTTLE, DROPPER in 1 CARTON (57619-303-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from May 13, 2020 | |
| 57619-303-03 | 57619030303 | 1 BOTTLE, DROPPER in 1 CARTON (57619-303-03) / 2 mL in 1 BOTTLE, DROPPERMarketed from Jul 24, 2020 · Sample package |
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)
- Splash Tears
- Generic name (nonproprietary)
- hypromellose
- Active ingredients
- Hypromellose 2910 (4000 mpa.s) — .2 g/100mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- LABORATORIOS SOPHIA, S.A. DE C.V.NDC labeler code 57619
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 57619-303_524658a5-3e39-2e46-e063-6294a90a48e3SPL ID 524658a5-3e39-2e46-e063-6294a90a48e3SPL set ID a58a8478-9cc5-aa39-e053-2995a90a347dRxCUI 359634UNII RN3152OP35
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
N457619030301followed by a unit qualifier and the quantityPackage 57619-0303-01. 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 Temporarily relieves burning and irritation due to dryness of the eye. 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 57619-303
- What is NDC 57619-303?
- 57619-303 is the product NDC for Splash Tears (hypromellose), Hypromellose 2910 (4000 mpa.s) .2 g/100mL solution/ drops, listed with the FDA by LABORATORIOS SOPHIA, S.A. DE C.V.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Splash Tears (Hypromellose).
- What is the active ingredient?
- Hypromellose 2910 (4000 mpa.s).
- Who is the labeler?
- LABORATORIOS SOPHIA, S.A. DE C.V., NDC labeler code 57619. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Splash 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 |
|---|---|---|---|---|
| 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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