NDC codes

FDA NDC Directory
Product NDC (as listed)68803-722Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68803-0722Add 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
68803-722-056880307220510 POUCH in 1 CARTON (68803-722-05) / 1 SYRINGE, GLASS in 1 POUCH / .5 mL in 1 SYRINGE, GLASSMarketed from Dec 31, 2019

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)
Tissueblue
Generic name (nonproprietary)
brilliant blue g
Active ingredients
Brilliant blue g — .0125 mg/.5mL
Dosage form
Injection, Solution
Route
Intraocular, Ophthalmic
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209569
Marketing start
Listing expires
Other FDA classes
Dyes (Mechanism)
Identifiers
Product ID 68803-722_4fa75b7a-9ebf-72e1-e063-6294a90a2565SPL ID 4fa75b7a-9ebf-72e1-e063-6294a90a2565SPL set ID 9d4b28b4-c582-4e2c-abd9-f7e203378e2dUNII M1ZRX790SI
Pharmacologic class
Disclosing Agent

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N468803072205 followed by a unit qualifier and the quantity

Package 68803-0722-05. 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)

Indications & Usage TissueBlue 0.025% is indicated to selectively stain the internal limiting membrane (ILM). TissueBlue 0.025% is a disclosing agent indicated to selectively stain the internal limiting membrane (ILM).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 68803-722

What is NDC 68803-722?
68803-722 is the product NDC for Tissueblue (brilliant blue g), Brilliant blue g .0125 mg/.5mL injection, solution, listed with the FDA by D.O.R.C. Dutch Ophthalmic Research Center (International) B.V.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Tissueblue (Brilliant Blue G).
What is the active ingredient?
Brilliant blue g.
Who is the labeler?
D.O.R.C. Dutch Ophthalmic Research Center (International) B.V., NDC labeler code 68803. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Tissueblue?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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