NDC codes

FDA NDC Directory
Product NDC (as listed)82604-600Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82604-0600Add 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
82604-600-00826040600001 VIAL in 1 CARTON (82604-600-00) / 4 mL in 1 VIALMarketed from Jul 1, 2023
82604-600-04826040600044 VIAL in 1 CARTON (82604-600-04) / 4 mL in 1 VIALMarketed from Jul 1, 2023
82604-600-99826040600994 VIAL in 1 CARTON (82604-600-99) / 4 mL in 1 VIALMarketed from Jul 1, 2023 · Sample package

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)
Omidria
Generic name (nonproprietary)
phenylephrine and ketorolac
Active ingredients
Phenylephrine — 10.16 mg/mLKetorolac — 2.88 mg/mL
Dosage form
Injection, Solution, Concentrate
Route
Intraocular
Labeler
Rayner Surgical Inc.NDC labeler code 82604
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205388
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)
Identifiers
Product ID 82604-600_ffe62883-85a4-6e94-e053-6294a90ac61fSPL ID ffe62883-85a4-6e94-e053-6294a90ac61fSPL set ID f25d7a42-da2a-7310-e053-2995a90a590fRxCUI 1540230, 1540235UNII 1WS297W6MV, YZI5105V0L
Pharmacologic class
Cyclooxygenase Inhibitor; Nonsteroidal Anti-inflammatory Drug; alpha-1 Adrenergic Agonist

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N482604060000 followed by a unit qualifier and the quantity

Package 82604-0600-00. 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)

Omidria ® is added to an ocular irrigating solution used during cataract surgery or intraocular lens replacement and is indicated for maintaining pupil size by preventing intraoperative miosis and reducing postoperative ocular pain. OMIDRIA is an alpha 1-adrenergic receptor agonist and nonselective cyclooxygenase inhibitor indicated for: Maintaining pupil size by preventing intraoperative miosis ( 1 ) Reducing postoperative pain ( 1 ) OMIDRIA is added to an ocular irrigating solution used during cataract surgery or intraocular lens replacement.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 82604-600

What is NDC 82604-600?
82604-600 is the product NDC for Omidria, Phenylephrine 10.16 mg/mL; Ketorolac 2.88 mg/mL injection, solution, concentrate, listed with the FDA by Rayner Surgical Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Omidria (Phenylephrine and ketorolac).
What is the active ingredient?
Phenylephrine, Ketorolac.
Who is the labeler?
Rayner Surgical Inc., NDC labeler code 82604. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Omidria?
1 other product NDC are listed under this name. See all Omidria NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Omidria NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Omidriaphenylephrine and ketorolacPhenylephrine 10.16 mg/mL; Ketorolac 2.88 mg/mLInjection, Solution, ConcentrateIntraocularOmeros Corporation62225-600—

Other NDCs under NDA 205388

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

FDA NDC Directory listings under NDA 205388
ProductStrengthForm · routeLabelerProduct NDC
Omidriaphenylephrine and ketorolacPhenylephrine 10.16 mg/mL; Ketorolac 2.88 mg/mLInjection, Solution, ConcentrateIntraocularOmeros Corporation62225-600

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