NDC codes

FDA NDC Directory
Product NDC (as listed)68788-8635Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68788-8635Add 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
68788-8635-168788863501687888635011 CARTON in 1 CARTON (68788-8635-1) / 15 mL in 1 CARTONMarketed from Apr 16, 2024

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

Generic name (nonproprietary)
dextran, polyethylene glycol 400, povidone, tetrahydrozoline hcl
Active ingredients
Polyethylene glycol 400 — 1 g/100mLTetrahydrozoline hydrochloride — .05 g/100mLPovidone, Unspecified — 1 g/100mLDextran 70 — .1 g/100mL
Dosage form
Solution
Route
Ophthalmic
Labeler
Preferred PHarmaceuticals Inc.NDC labeler code 68788
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 018
Marketing start
Listing expires
Other FDA classes
Increased Intravascular Volume (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers
Product ID 68788-8635_5a31753e-3d74-4282-bd96-99342ce5287dSPL ID 5a31753e-3d74-4282-bd96-99342ce5287dSPL set ID 011473a8-26d5-4661-b3c0-745f9b6aa1d8RxCUI 996202UNII B697894SGQ, 0YZT43HS7D, FZ989GH94E, 7SA290YK68
Pharmacologic class
Plasma Volume Expander

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

N468788863501 followed by a unit qualifier and the quantity

Package 68788-8635-01. 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 • relieves redness of the eye due to minor eye irritations • as a lubricant to prevent further irritation or to relieve dryness of the eye

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 68788-8635

What is NDC 68788-8635?
68788-8635 is the product NDC for GoodSense Eye Drops Advanced Relief Moisturizer, Polyethylene glycol 400 1 g/100mL + 3 more ingredients solution, listed with the FDA by Preferred PHarmaceuticals Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
GoodSense Eye Drops Advanced Relief Moisturizer (Dextran, polyethylene glycol 400, povidone, tetrahydrozoline HCl).
What is the active ingredient?
Polyethylene glycol 400, Tetrahydrozoline hydrochloride, Povidone, Unspecified, Dextran 70.
Who is the labeler?
Preferred PHarmaceuticals Inc., NDC labeler code 68788. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for GoodSense Eye Drops Advanced Relief Moisturizer?
2 other product NDCs are listed under this name. See all GoodSense Eye Drops Advanced Relief Moisturizer NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other GoodSense Eye Drops Advanced Relief Moisturizer NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
GoodSense Eye Drops Advanced Relief Moisturizerdextran, polyethylene glycol 400, povidone, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL + 3 more ingredientsSolutionOphthalmicSportpharm LLC85766-16585766-0165-15
GoodSense Eye Drops Advanced Relief Moisturizerdextran, polyethylene glycol 400, povidone, tetrahydrozoline hclPolyethylene glycol 400 1 g/100mL + 3 more ingredientsSolutionOphthalmicGeiss, Derstin & Dunn, Inc.50804-13050804-0130-01

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
Walgreens Eye Drops Maximum Redness Relief 15mLglycerin, naphazoline hciNaphazoline hydrochloride .03 g/100mL; Glycerin .5 g/100mLSolution/ dropsOphthalmicWalgreen Company0363-4546
Vista Gonio Eye Lubricanthypromellose ophthalmic solutionHypromellose 2208 (100 mpa.s) 25 mg/15mLSolutionOphthalmicRed Wedding LLC77790-022
Capasil Pain Relievingmenthol, methyl salicylateMethyl salicylate 100 mg/mL; Menthol 20 mg/mLCreamTopicalPureTek Corporation59088-434
Rugby Eye Washwater, purifiedWater 99.05 g/100mLSolutionOphthalmicA-S Medication Solutions50090-7440
DG Original Eye Dropstetrahydrozoline hclTetrahydrozoline hydrochloride .05 g/100mLSolutionOphthalmicDolgencorp LLC55910-363
TopCare Health Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 g/100mLSolution/ dropsOphthalmicTopcare Associates LLC76162-089
VitaPhyte Lubricating Eye Dropslubricating eye dropsCarboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mLSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-008
VISTA Hypromellose Dry Eye ReliefhypromelloseHypromellose 2910 (50 mpa.s) .3 g/mLGelOphthalmicRed Wedding LLC77790-002
EyS Eye WashwaterWater 14.85 mL/15mLSolutionOphthalmicEyes-Plus LLC57349-220
DG Health Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hclPovidone, Unspecified 1 g/100mL + 3 more ingredientsSolutionOphthalmicDolgencorp LLC55910-361
Fendall 2000 Pure Flowpurified waterWater 98.6 L/100LLiquidOphthalmicHoneywell Safety Products USA, Inc.0498-0631
VISTA MEIBO TEARS Propylene Glycol 0.6% w/v Advanced Dry Eye Relief Lubricating Drops 10 mlpropylene glycolPropylene glycol .6 g/100mLLiquidOphthalmicRed Wedding LLC77790-003
VitaPhyte Lubricant Eye Dropslubricant eye dropsCarboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mLSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-020
DG Health Dry Eye Reliefglycerin, hypromellose, polypropylene glycol 400Polyethylene glycol 400 1 g/100mL + 2 more ingredientsSolutionOphthalmicDolgencorp LLC55910-362
OptaseglycerinGlycerin 2 mg/mLSolution/ dropsOphthalmicScope Health Inc72972-002
Rippleglycerin, povidoneGlycerin .63 g/100mL; Povidone .25 g/100mLSolution/ dropsOphthalmicCorneaCare Inc82875-003
SalinenasalSodium chloride 6.5 mg/mLSprayNasalGERI-CARE PHARMACEUTICAL CORP57896-333
Signature Care Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-705
OptaseglycerinGlycerin 1 mg/mLSprayOphthalmicScope Health Inc72972-001
Discount Drug Mart Eye Drops Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicDiscount Drug Mart, Inc.53943-490

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