Over-the-counter drug · OTC MONOGRAPH DRUG
VISTA Hypromellose Dry Eye Relief (Hypromellose) NDC 77790-002
Hypromellose 2910 (50 mpa.s) .3 g/mL · Gel · Ophthalmic · Red Wedding LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 77790-002-10 | 77790000210 | 1 BOTTLE, DISPENSING in 1 BOX (77790-002-10) / 10 mL in 1 BOTTLE, DISPENSINGMarketed from Jan 1, 2024 |
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)
- VISTA Hypromellose Dry Eye Relief
- Generic name (nonproprietary)
- hypromellose
- Active ingredients
- Hypromellose 2910 (50 mpa.s) — .3 g/mL
- Dosage form
- Gel
- Route
- Ophthalmic
- Labeler
- Red Wedding LLCNDC labeler code 77790
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 77790-002_47e991f9-4722-d647-e063-6294a90a022bSPL ID 47e991f9-4722-d647-e063-6294a90a022bSPL set ID b2c4954c-ed53-778a-e053-2a95a90ae0d0UNII 1IVH67816N
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
N477790000210followed by a unit qualifier and the quantityPackage 77790-0002-10. 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)
Uses For the temporary relief of irritation and burning due to dryness of the eye.
Excerpt only. Read the full label for complete information.
About NDC 77790-002
- What is NDC 77790-002?
- 77790-002 is the product NDC for VISTA Hypromellose Dry Eye Relief, Hypromellose 2910 (50 mpa.s) .3 g/mL gel, listed with the FDA by Red Wedding LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- VISTA Hypromellose Dry Eye Relief (Hypromellose).
- What is the active ingredient?
- Hypromellose 2910 (50 mpa.s).
- Who is the labeler?
- Red Wedding LLC, NDC labeler code 77790. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for VISTA Hypromellose Dry Eye Relief?
- 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 018
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Vista Gonio Eye Lubricanthypromellose ophthalmic solution | Hypromellose 2208 (100 mpa.s) 25 mg/15mL | SolutionOphthalmic | Red Wedding LLC | 77790-022 |
| Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Dropspolyvinyl alcohol | Polyvinyl alcohol 1.4 g/100mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-7606 |
| Exchange Select High Performance Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Army and Air Force Exchange Service | 55301-347 |
| Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Droptics LLC | 85211-001 |
| Revitalize Energizing Eye Dropsnaphazoline hydrochloride ,propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Revitalize Energy Inc. | 82864-001 |
| REFRESH OPTIVE Advancedcarboxymethylcellulose sodium, glycerin, polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-4491 |
| Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80 | Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredients | LiquidOphthalmic | Droptics LLC | 85211-002 |
| VISTA MEIBO TEARS Propylene Glycol 0.6% w/v Advanced Dry Eye Relief Lubricating Drops 10 mlpropylene glycol | Propylene glycol .6 g/100mL | LiquidOphthalmic | Red Wedding LLC | 77790-003 |
| Best Choice Eye Drops A.C.tetrahydrozoline hcl, zinc sulfate | Tetrahydrozoline hydrochloride .05 g/100mL; Zinc sulfate .25 g/100mL | SolutionOphthalmic | Best Choice (Valu Merchandisers Company) | 63941-838 |
| Harris Teeter Eye Drops Maximum Redness Reliefglycerin, naphazoline hydrochloride | Glycerin .5 g/100mL; Naphazoline hydrochloride .03 g/100mL | SolutionOphthalmic | Harris Teeter, LLC | 69256-058 |
| Lubricant Eyecarboxymethylcellulose sodium | Carboxymethylcellulose sodium, Unspecified form 5 mg/mL | Solution/ dropsOphthalmic | Rugby Laboratories | 0536-1476 |
| Ancient Secrets Breathe Againsodium chloride | Sodium chloride 20 mg/100mL | Aerosol, SprayNasal | LOTUS BRANDS, INC. | 76328-100 |
| Refresh Digital PFcarboxymethylcellulose sodium, glycerin and polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-6954 |
| Clear Eyes Triple Reliefpolyvinyl alcohol and povidone and tetrahydrozoline hydrochloride | Polyvinyl alcohol, Unspecified 5 mg/mL + 2 more ingredients | LiquidOphthalmic | Prestige Brands Holdings, Inc. | 67172-898 |
| CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | CVS | 69842-746 |
| Sodium Chloride Normal Saltsodium chloride | Sodium chloride 500 mg/1 | TabletOral | Citragen Pharmaceuticals Inc | 70369-010 |
| CareOne Itchy Relief Eye Drops 15mLtetrahydrozoline hci, zinc sulfate | Zinc sulfate .25 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL | LiquidOphthalmic | Retail Business Services, LLC. | 72476-011 |
| Equate Nighttime Relief Lubricantlight mineral oil, white petrolatum | Light mineral oil 425 mg/g; White petrolatum 573 mg/g | OintmentOphthalmic | Hanlim Pharm Co. LTD | 11716-0367 |
| Clear Eyes Natural Tearspolyvinyl alcohol and povidone | Polyvinyl alcohol, Unspecified 5 mg/mL; Povidone 6 mg/mL | LiquidOphthalmic | Prestige Brands Holdings, Inc. | 67172-557 |
| FreshKote Preservative Free Lubricant Eye Dropspovidone, polyvinyl alcohol | Povidone 20 g/1000mL; Polyvinyl alcohol, Unspecified 27 g/1000mL | SolutionOphthalmic | Eyevance Pharmaceuticals | 71776-001 |
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