NDC codes

FDA NDC Directory
Product NDC (as listed)77790-002Labeler and product segments. Claims need a package NDC.
Product NDC at billing width77790-0002Add 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
77790-002-10777900002101 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

N477790000210 followed by a unit qualifier and the quantity

Package 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.

Full label on DailyMed (opens in a new tab)

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.

FDA NDC Directory listings under M 018
ProductStrengthForm · routeLabelerProduct NDC
Vista Gonio Eye Lubricanthypromellose ophthalmic solutionHypromellose 2208 (100 mpa.s) 25 mg/15mLSolutionOphthalmicRed Wedding LLC77790-022
Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Dropspolyvinyl alcoholPolyvinyl alcohol 1.4 g/100mLSolution/ dropsOphthalmicA-S Medication Solutions50090-7606
Exchange Select High Performance Lubricant Eye Dropspolyethylene glycol 400, propylene glycolPropylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mLSolution/ dropsOphthalmicArmy and Air Force Exchange Service55301-347
Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycolNaphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mLLiquidOphthalmicDroptics LLC85211-001
Revitalize Energizing Eye Dropsnaphazoline hydrochloride ,propylene glycolNaphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mLLiquidOphthalmicRevitalize Energy Inc.82864-001
REFRESH OPTIVE Advancedcarboxymethylcellulose sodium, glycerin, polysorbate 80Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredientsSolution/ dropsOphthalmicAllergan, Inc.0023-4491
Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredientsLiquidOphthalmicDroptics LLC85211-002
VISTA MEIBO TEARS Propylene Glycol 0.6% w/v Advanced Dry Eye Relief Lubricating Drops 10 mlpropylene glycolPropylene glycol .6 g/100mLLiquidOphthalmicRed Wedding LLC77790-003
Best Choice Eye Drops A.C.tetrahydrozoline hcl, zinc sulfateTetrahydrozoline hydrochloride .05 g/100mL; Zinc sulfate .25 g/100mLSolutionOphthalmicBest Choice (Valu Merchandisers Company)63941-838
Harris Teeter Eye Drops Maximum Redness Reliefglycerin, naphazoline hydrochlorideGlycerin .5 g/100mL; Naphazoline hydrochloride .03 g/100mLSolutionOphthalmicHarris Teeter, LLC69256-058
Lubricant Eyecarboxymethylcellulose sodiumCarboxymethylcellulose sodium, Unspecified form 5 mg/mLSolution/ dropsOphthalmicRugby Laboratories0536-1476
Ancient Secrets Breathe Againsodium chlorideSodium chloride 20 mg/100mLAerosol, SprayNasalLOTUS BRANDS, INC.76328-100
Refresh Digital PFcarboxymethylcellulose sodium, glycerin and polysorbate 80Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredientsSolution/ dropsOphthalmicAllergan, Inc.0023-6954
Clear Eyes Triple Reliefpolyvinyl alcohol and povidone and tetrahydrozoline hydrochloridePolyvinyl alcohol, Unspecified 5 mg/mL + 2 more ingredientsLiquidOphthalmicPrestige Brands Holdings, Inc.67172-898
CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolutionOphthalmicCVS69842-746
Sodium Chloride Normal Saltsodium chlorideSodium chloride 500 mg/1TabletOralCitragen Pharmaceuticals Inc70369-010
CareOne Itchy Relief Eye Drops 15mLtetrahydrozoline hci, zinc sulfateZinc sulfate .25 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mLLiquidOphthalmicRetail Business Services, LLC.72476-011
Equate Nighttime Relief Lubricantlight mineral oil, white petrolatumLight mineral oil 425 mg/g; White petrolatum 573 mg/gOintmentOphthalmicHanlim Pharm Co. LTD11716-0367
Clear Eyes Natural Tearspolyvinyl alcohol and povidonePolyvinyl alcohol, Unspecified 5 mg/mL; Povidone 6 mg/mLLiquidOphthalmicPrestige Brands Holdings, Inc.67172-557
FreshKote Preservative Free Lubricant Eye Dropspovidone, polyvinyl alcoholPovidone 20 g/1000mL; Polyvinyl alcohol, Unspecified 27 g/1000mLSolutionOphthalmicEyevance Pharmaceuticals71776-001

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