NDC codes

FDA NDC Directory
Product NDC (as listed)69842-441Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0441Add 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
69842-441-02698420441022 BOTTLE, DROPPER in 1 CARTON (69842-441-02) / 15 mL in 1 BOTTLE, DROPPERMarketed from Feb 1, 2017
69842-441-15698420441151 BOTTLE, DROPPER in 1 CARTON (69842-441-15) / 15 mL in 1 BOTTLE, DROPPERMarketed from Feb 1, 2017

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)
Eye Allergy Relief
Generic name (nonproprietary)
naphazoline hydrochloride and pheniramine maleate
Active ingredients
Naphazoline hydrochloride — .2675 mg/mLPheniramine maleate — 3.15 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020065
Marketing start
Listing expires
Identifiers
Product ID 69842-441_48727c9c-6638-f714-e063-6394a90a9954SPL ID 48727c9c-6638-f714-e063-6394a90a9954SPL set ID 253130b4-a23b-43a0-b125-0fa5bd01b2b6RxCUI 1043704UNII MZ1131787D, NYW905655B

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

N469842044102 followed by a unit qualifier and the quantity

Package 69842-0441-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 020065

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

FDA NDC Directory listings under NDA 020065
ProductStrengthForm · routeLabelerProduct NDC
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicTarget Corporation11673-430
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicWal-Mart Stores Inc49035-430
Opcon-Anaphazoline hydrochloride and pheniramine maleateNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated24208-430
Opcon-Anaphazoline hydrochloride and pheniramine maleateNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated24208-431
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicDOLGENCORP, LLC55910-552
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicRite Aid Corporation11822-0552
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicWalgreen Company0363-0430

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