Goniotaire (hypromellose 2906 (4000 mpa.s)) NDC 59390-182

NDC codes

FDA NDC Directory

Product NDC (as listed)59390-182Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59390-0182Add 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
59390-182-13	59390018213	1 BOTTLE in 1 CARTON (59390-182-13) / 15 mL in 1 BOTTLEMarketed from Jan 18, 2002

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): Goniotaire
Generic name (nonproprietary): hypromellose 2906 (4000 mpa.s)
Active ingredients: Hypromellose 2906 (4000 mpa.s) — 25 mg/mL
Dosage form: Solution
Route: Ophthalmic
Labeler: Altaire Pharmaceuticals Inc.
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Jan 18, 2002
Listing expires: Dec 31, 2026
Identifiers: Product ID 59390-182_3e98cefc-43d0-40bf-80be-651f17a39d4fSPL ID 3e98cefc-43d0-40bf-80be-651f17a39d4fSPL set ID 9ebedd36-523a-4f92-8fe9-33beaf7288f9RxCUI 310934UNII 5EYA69XGAT

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

N459390018213 followed by a unit qualifier and the quantity

Package 59390-0182-13. 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 Oct 28, 2022.

Indications (excerpt from the label)

INDICATIONS: For professional use in gonioscopic examinations.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)