NDC codes

FDA NDC Directory
Product NDC (as listed)72094-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72094-0001Add 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
72094-001-037209400010320 mL in 1 BOTTLE, DROPPER (72094-001-03)Marketed from Feb 12, 2018

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)
HylaTears
Generic name (nonproprietary)
eye drops
Active ingredients
Hypromellose 2910 (4000 mpa.s) — 3 mg/10mL
Dosage form
Liquid
Route
Ophthalmic
Labeler
Hyalogic LLCNDC labeler code 72094
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 014
Marketing start
Listing expires
Identifiers
Product ID 72094-001_2b5fc4c4-843d-8d3d-e063-6394a90a5a1bSPL ID 2b5fc4c4-843d-8d3d-e063-6394a90a5a1bSPL set ID 2b5fc4c4-843c-8d3d-e063-6394a90a5a1bUNII RN3152OP35

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

N472094000103 followed by a unit qualifier and the quantity

Package 72094-0001-03. 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)

Inidication and Use For the temporary relief of burning, irritaiton and discomofrt due to drynes of the eye or exposure to wind and sun,. May be uysed as a protectant against further irritation Indication and Use

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72094-001

What is NDC 72094-001?
72094-001 is the product NDC for HylaTears (eye drops), Hypromellose 2910 (4000 mpa.s) 3 mg/10mL liquid, listed with the FDA by Hyalogic LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
HylaTears (Eye Drops).
What is the active ingredient?
Hypromellose 2910 (4000 mpa.s).
Who is the labeler?
Hyalogic LLC, NDC labeler code 72094. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for HylaTears?
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.

Other NDCs under M 014

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

FDA NDC Directory listings under M 014
ProductStrengthForm · routeLabelerProduct NDC
Foster and Thrive Earwax Removal Kit Ear wax dropscarbamide peroxide—KitMckesson Corp. Via Strategic Sourcing Services70677-1153
Foster and Thrive Earwax Removal Dropscarbamide peroxideCarbamide peroxide 65 mg/mLSolution/ dropsTopicalMckesson Corp. Via Strategic Sourcing Services70677-1154
Good Neighbor Pharmacy Earwax Removal Dropscarbamide peroxideCarbamide peroxide 65 mg/mLLiquidTopicalPreferred Pharmaceuticals Inc.68788-8586
CVS Health Earwax Removal Drops Earwax Removal Aidcarbamide peroxideCarbamide peroxide 65 mg/mLSolution/ dropsTopicalCVS Pharmacy, Inc.51316-822
CVS Health Earwax Removal Kitcarbamide peroxide—KitCVS Pharmacy, Inc.51316-823
HUMCO Ear Drops for Swimmersisopropyl alcoholIsopropyl alcohol 950 mg/mLLiquidAuricular (Otic)Humco Holding Group, Inc.0395-0098
Ear Wax Removal Drops Up and Upcarbamide peroxide - 6.5%Carbamide peroxide 65 mg/mLSolution/ dropsTopicalTarget Corporation11673-761
Walgreens Ear Wax Removercarbamide peroxide 6.5%Carbamide peroxide .065 mg/mLLiquidAuricular (Otic)Walgreens Company0363-2068
Deluxe Ear Wash systemcarbamide peroxide—KitWalgreens0363-2231
EarBalance Ear Pain Dropslidocaine hydrochloride otic solutionLidocaine 40 mg/mLSolution/ dropsAuricular (Otic)Marie's Original Formulas LLC87541-644
EarBalance Ear Pain Dropslidocaine hydrochloride otic solutionLidocaine 40 mg/mLSolution/ dropsAuricular (Otic)Marie's Original Formulas LLC87541-896
CareOne Earwax Removal Dropscarbamide peroxideCarbamide peroxide 65 mg/mLSolution/ dropsAuricular (Otic)Retail Business Services, LLC72476-838
Meijer Earwax Removal Kitcarbamide peroxideCarbamide peroxide 65 mg/mLLiquidTopicalMeijer Distribution Inc.41250-835
Major Earwax Removal Drops Earwax Removal Aidcarbamide peroxideCarbamide peroxide 65 mg/mLSolution/ dropsTopicalMajor Pharmaceuticals0904-7478
Debrox Swimmers Earisopropyl alcoholIsopropyl alcohol 95 mL/100mLLiquidAuricular (Otic)Medtech Products Inc.63029-323
Clearcanal Ear Wax Softerner Dropscarbamide peroxideCarbamide peroxide 65 mg/mLSolution/ dropsAuricular (Otic)A-S Medication Solutions50090-7426
Debroxcarbamide peroxideCarbamide peroxide 65 mg/mLLiquidAuricular (Otic)Medtech Products Inc.63029-321
DDM Ear Drops for Swimmersisopropyl alcoholIsopropyl alcohol 950 mg/mLLiquidAuricular (Otic)Discount Drug Mart53943-098
BacitracinBacitracin 500 [USP'U]/gOintmentTopicalNuCare Pharmaceuticals,Inc.68071-5253
Debrox Kidsisopropyl alcoholIsopropyl alcohol 95 mL/100mLLiquidAuricular (Otic)Medtech Products Inc.63029-325

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