NDC codes

FDA NDC Directory
Product NDC (as listed)57619-305Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57619-0305Add 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 NDC11-digit (billing)PackageCopy
57619-305-01576190305011 BOTTLE, DROPPER in 1 CARTON (57619-305-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from Aug 8, 2025

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 Refresh
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 57619-305_3dd7b774-826e-4155-e063-6394a90ad5bdSPL ID 3dd7b774-826e-4155-e063-6394a90ad5bdSPL set ID 3c1c453e-2644-622a-e063-6394a90a8a94RxCUI 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

N457619030501 followed by a unit qualifier and the quantity

Package 57619-0305-01. 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.

Full label on DailyMed (opens in a new tab)

About NDC 57619-305

What is NDC 57619-305?
57619-305 is the product NDC for Splash Refresh (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 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Splash Refresh (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 Refresh?
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.

FDA NDC Directory listings under M 018
ProductStrengthForm · routeLabelerProduct NDC
Medi-First Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium, Unspecified form .5 g/100mLSolutionOphthalmicUnifirst First Aid Corporation47682-193
Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-702
Walgreens Lubricant Eye Drops High Performance 15mL and twin packpolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicWalgreen Company0363-4549
Plus Rinse Emergency Eyewashpurified waterWater 99.1 mL/100mLLiquidOphthalmicINNOVATIVE SAFETY SUPPLY INC.72598-022
Sunmark Lubricant Eye Dropspolypropylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicStrategic Sourcing Services LLC49348-947
Refresh Digitalcarboxymethylcellulose sodium, glycerin, polysorbate 80Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredientsSolution/ dropsOphthalmicAllergan, Inc.0023-6952
Sodium Chloride Hypertonicity Ophthalmic Solution, 5%Sodium chloride 50 mg/mLSolution/ dropsOphthalmicReliable 1 Laboritories LLC69618-077
Walgreens Sterile Soothing Eye Washpurified waterWater 99.05 mL/100mLLiquidOphthalmicWalgreens0363-0700
Sodium Hyaluronate Eye Dropssodium hyaluronateSodium hyaluronate .1 g/100gLiquidOphthalmicGuangzhou Hechuang Commercial Service Co.,Ltd.87298-037
Retaine CMCcarboxymethylcellulose sodiumCarboxymethylcellulose sodium, Unspecified 5 mg/mLSolution/ dropsOphthalmicOCuSOFT LLC54799-460
Equate Lubricant Eye Dropscarboxymethylcellulose sodium, glycerinCarboxymethylcellulose sodium .5 g/100mL; Glycerin .9 g/100mLSolution/ dropsOphthalmicWalmart79903-365
Equate Redness and Dry Eye Reliefglycerin, naphazoline hydrochlorideGlycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mLSolutionOphthalmicWalmart79903-362
Original Redness Relievertetrahydrolizine hclTetrahydrozoline hydrochloride .05 g/100mLSolution/ dropsOphthalmicWalmart79903-363
REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredientsSolution/ dropsOphthalmicAllergan, Inc.0023-4230
Best Choice Artificial Tearspolyvinyl alcohol, povidonePolyvinyl alcohol .5 g/100mL; Povidone .6 g/100mLSolution/ dropsOphthalmicBest Choice63941-015
Dry Eye Reliefcarboxymethylcellulose sodiumCarboxymethylcellulose sodium, Unspecified 10 mg/mLGelOphthalmicCARDINAL HEALTH 110, LLC. DBA LEADER70000-0089
Equate Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 mg/100mLSolution/ dropsOphthalmicWalmart79903-364
Lubricant Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium, Unspecified 5 mg/mLSolution/ dropsOphthalmicCARDINAL HEALTH 110, LLC. DBA LEADER70000-0090
Sodium Chloride Hypertonicity Ophthalmicsodium chlorideSodium chloride 50 mg/gOintmentOphthalmicRugby Laboratories0536-1253
Meijer Redness Relieftetrahydrozoline hciTetrahydrozoline hydrochloride .05 g/100mLSolution/ dropsOphthalmicMeijer Distribution, Inc.41250-814

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