NDC codes

FDA NDC Directory
Product NDC (as listed)77039-034Labeler and product segments. Claims need a package NDC.
Product NDC at billing width77039-0034Add 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
77039-034-017703900340160 PACKET in 1 CARTON (77039-034-01) / 1 mL in 1 PACKETMarketed from May 1, 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)
EyeOne Cleaner
Generic name (nonproprietary)
hyaluronic acid, tocopheryl acetate
Active ingredients
Alpha-tocopherol acetate — .00001 g/mLHyaluronic acid — .0000001 g/mL
Dosage form
Cloth
Route
Topical
Labeler
IDO PHARMNDC labeler code 77039
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 77039-034_373117ec-17e2-49d3-e063-6394a90aec20SPL ID 373117ec-17e2-49d3-e063-6394a90aec20SPL set ID 37311080-b269-5ba2-e063-6394a90a2c6cUNII 9E8X80D2L0, S270N0TRQYUPC 8809703662742

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N477039003401 followed by a unit qualifier and the quantity

Package 77039-0034-01. 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)

Use it whenever you need to clean your eyelids

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 77039-034

What is NDC 77039-034?
77039-034 is the product NDC for EyeOne Cleaner, Alpha-tocopherol acetate .00001 g/mL; Hyaluronic acid .0000001 g/mL cloth, listed with the FDA by IDO PHARM. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
EyeOne Cleaner (Hyaluronic Acid, Tocopheryl Acetate).
What is the active ingredient?
Alpha-tocopherol acetate, Hyaluronic acid.
Who is the labeler?
IDO PHARM, NDC labeler code 77039. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for EyeOne Cleaner?
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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