NDC codes

FDA NDC Directory
Product NDC (as listed)69315-330Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69315-0330Add 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
69315-330-05693150330051 BOTTLE, DROPPER in 1 CARTON (69315-330-05) / 5 mL in 1 BOTTLE, DROPPERMarketed from May 29, 2025
69315-330-10693150330101 BOTTLE, DROPPER in 1 CARTON (69315-330-10) / 10 mL in 1 BOTTLE, DROPPERMarketed from May 29, 2025
69315-330-15693150330151 BOTTLE, DROPPER in 1 CARTON (69315-330-15) / 15 mL in 1 BOTTLE, DROPPERMarketed from May 29, 2025

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)
Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution
Generic name (nonproprietary)
brimonidine tartrate and timolol maleate
Active ingredients
Brimonidine tartrate — 2 mg/mLTimolol maleate — 5 mg/mL
Dosage form
Solution
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 219093
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Adrenergic beta-Antagonists (Mechanism)
Identifiers
Product ID 69315-330_16b451fa-d16e-4138-a5b9-e4424e56920bSPL ID 16b451fa-d16e-4138-a5b9-e4424e56920bSPL set ID 533f9979-0cd7-485c-8c50-abbf717c5031RxCUI 861635UNII 4S9CL2DY2H, P8Y54F701RUPC 0369315330050, 0369315330104, 0369315330159
Pharmacologic class
alpha-Adrenergic Agonist; 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

N469315033005 followed by a unit qualifier and the quantity

Package 69315-0330-05. 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)

Brimonidine Tartrate/Timolol Maleate Ophthalmic Solution 0.2%/0.5% is an alpha-adrenergic receptor agonist with a beta-adrenergic receptor inhibitor indicated for the reduction of elevated intraocular pressure (IOP) in patients with glaucoma or ocular hypertension who require adjunctive or replacement therapy due to inadequately controlled IOP; the IOP-lowering of brimonidine tartrate/timolol maleate ophthalmic solution dosed twice a day was slightly less than that seen with the concomitant administration of 0.5% timolol maleate ophthalmic solution dosed twice a day and 0.2% brimonidine tartrate ophthalmic solution dosed three times per day. Brimonidine Tartrate/Timolol Maleate Ophthalmic So…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 219093

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 219093
ProductStrengthForm · routeLabelerProduct NDC
Brimonidine Tartrate/Timolol Maleate Ophthalmic Solutionbrimonidine tartrate and timolol maleateBrimonidine tartrate 2 mg/mL; Timolol maleate 5 mg/mLSolutionOphthalmicCaplin Steriles Limited65145-162
Brimonidine Tartrate/Timolol Maleate Ophthalmic Solutionbrimonidine tartrate and timolol maleateBrimonidine tartrate 2 mg/mL; Timolol maleate 5 mg/mLSolutionOphthalmicCaplin Steriles Limited65145-163
Brimonidine Tartrate/Timolol Maleate Ophthalmic Solutionbrimonidine tartrate and timolol maleateBrimonidine tartrate 2 mg/mL; Timolol maleate 5 mg/mLSolutionOphthalmicCaplin Steriles Limited65145-164

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