Prescription drug · NDA
Altafluor NDC 59390-218
fluorescein sodium and benoxinate hydrochloride · Fluorescein sodium 2.5 mg/mL; Benoxinate hydrochloride 4 mg/mL · Solution · Ophthalmic · Altaire Pharmaceuticals Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59390-218-05 | 59390021805 | 5 mL in 1 BOTTLE, DROPPER (59390-218-05)Marketed from Mar 1, 2018 |
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)
- Altafluor
- Generic name (nonproprietary)
- fluorescein sodium and benoxinate hydrochloride
- Active ingredients
- Fluorescein sodium — 2.5 mg/mLBenoxinate hydrochloride — 4 mg/mL
- Dosage form
- Solution
- Route
- Ophthalmic
- Labeler
- Altaire Pharmaceuticals Inc.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 208582
- Marketing start
- Listing expires
- Other FDA classes
- Dyes (Mechanism)
- Identifiers
- Product ID 59390-218_22a50c28-e476-4966-b68c-065a4b8e157fSPL ID 22a50c28-e476-4966-b68c-065a4b8e157fSPL set ID 54017304-e680-4129-b52a-69cb9810af76RxCUI 2099132, 2099522UNII 93X55PE38X, 0VE4U49K15
- Pharmacologic class
- Diagnostic Dye
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
N459390021805followed by a unit qualifier and the quantityPackage 59390-0218-05. 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)
Altafluor Benox (fluorescein sodium and benoxinate hydrochloride ophthalmic solution) 0.25%/0.4% is indicated for ophthalmic procedures requiring a disclosing agent in combination with a topical ophthalmic anesthetic agent. Altafluor Benox (fluorescein sodium and benoxinate hydrochloride ophthalmic solution) 0.25%/0.4% is a combination disclosing agent and local ester anesthetic indicated for procedures requiring a disclosing agent in combination with a topical ophthalmic anesthetic. ( 1 )
Excerpt only. Read the full label for complete information.