NDC codes

FDA NDC Directory
Product NDC (as listed)68788-7266Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68788-7266Add 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
68788-7266-0687887266001 BOTTLE in 1 CARTON (68788-7266-0) / 15 mg in 1 BOTTLEMarketed from Mar 11, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Artificial Tears
Generic name (nonproprietary)
glycerin
Active ingredients
Glycerin — .002 mg/mgHypromellose, Unspecified — .002 mg/mgPolyethylene glycol 400 — .01 mg/mg
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication MO 18
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Glycerol (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 68788-7266_916ab19f-4424-41c3-af5e-d75ddddd2ba6SPL ID 916ab19f-4424-41c3-af5e-d75ddddd2ba6SPL set ID dd646c72-8f47-43c6-a734-db0dcc8cd4d1RxCUI 259581UNII PDC6A3C0OX, 3NXW29V3WO, B697894SGQ
Pharmacologic class
Non-Standardized Chemical Allergen

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

N468788726600 followed by a unit qualifier and the quantity

Package 68788-7266-00. 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 • for protection against further irritation • for temporary relief of burning and irritation due to dryness of the eye

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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