NDC codes

FDA NDC Directory
Product NDC (as listed)65862-947Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65862-0947Add 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
65862-947-186586209471812 POUCH in 1 CARTON (65862-947-18) / 15 VIAL, SINGLE-USE in 1 POUCH / .2 mL in 1 VIAL, SINGLE-USEMarketed from Jul 24, 2018
65862-947-60658620947604 POUCH in 1 CARTON (65862-947-60) / 15 VIAL, SINGLE-USE in 1 POUCH (65862-947-15) / .2 mL in 1 VIAL, SINGLE-USEMarketed from Jul 24, 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)
Dorzolamide Hydrochloride and Timolol Maleate Preservative Free
Generic name (nonproprietary)
dorzolamide hydrochloride and timolol maleate preservative free
Active ingredients
Dorzolamide hydrochloride — 20 mg/mLTimolol maleate — 5 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207630
Marketing start
Listing expires
Other FDA classes
Adrenergic beta-Antagonists (Mechanism)Carbonic Anhydrase Inhibitors (Mechanism)
Identifiers
Product ID 65862-947_b02840eb-1403-4b25-b7a9-4484edfa0a50SPL ID b02840eb-1403-4b25-b7a9-4484edfa0a50SPL set ID f41a9cd5-48c8-42eb-bb1b-d0355d981201RxCUI 1922783UNII QZO5366EW7, P8Y54F701RUPC 0365862947154, 0365862947185
Pharmacologic class
Carbonic Anhydrase Inhibitor; beta-Adrenergic Blocker

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

N465862094718 followed by a unit qualifier and the quantity

Package 65862-0947-18. 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)

Dorzolamide hydrochloride and timolol maleate ophthalmic solution preservative free is indicated for the reduction of elevated intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension who are insufficiently responsive to beta-blockers (failed to achieve target IOP determined after multiple measurements over time). The IOP-lowering of dorzolamide hydrochloride and timolol maleate ophthalmic solution administered twice a day was slightly less than that seen with the concomitant administration of 0.5% timolol administered twice a day and 2% dorzolamide administered three times a day [see Clinical Studies (14.1) ]. Dorzolamide hydrochloride and timolol maleate ophth…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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