What is NDC 83817-963?

83817-963 is the product NDC for Code Red Eye Drops Redness Relief, Polyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL solution/ drops, listed with the FDA by 4 Trees, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Code Red Eye Drops Redness Relief (Polyethylene glycol 400, Tetrahydrozoline HCl).

What is the active ingredient?

Polyethylene glycol 400, Tetrahydrozoline hydrochloride.

4 Trees, LLC, NDC labeler code 83817. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Code Red Eye Drops Redness 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.

Code Red Eye Drops Redness Relief NDC 83817-963

NDC codes

FDA NDC Directory

Product NDC (as listed)83817-963Labeler and product segments. Claims need a package NDC.

Product NDC at billing width83817-0963Add 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 NDC	11-digit (billing)	Package	Copy
83817-963-01	83817096301	1 BOTTLE, DROPPER in 1 BOX (83817-963-01) / 15 mL in 1 BOTTLE, DROPPERMarketed from Jan 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): Code Red Eye Drops Redness Relief
Generic name (nonproprietary): polyethylene glycol 400, tetrahydrozoline hcl
Active ingredients: Polyethylene glycol 400 — 1 g/100mLTetrahydrozoline hydrochloride — .05 g/100mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: 4 Trees, LLCNDC labeler code 83817
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Jan 1, 2025
Listing expires: Dec 31, 2026
Identifiers: Product ID 83817-963_2dc61a4e-5308-5145-e063-6294a90a06d7SPL ID 2dc61a4e-5308-5145-e063-6294a90a06d7SPL set ID 0aa08018-cc2d-d947-e063-6394a90a914aRxCUI 996209UNII B697894SGQ, 0YZT43HS7DUPC 0095072025112

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

N483817096301 followed by a unit qualifier and the quantity

Package 83817-0963-01. 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 Feb 7, 2025.

Indications (excerpt from the label)

Uses relieves redness of the eye due to minor eye irritations as a lubricant to prevent further irritation or to relieve dryness of the eye

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 83817-963

What is NDC 83817-963?: 83817-963 is the product NDC for Code Red Eye Drops Redness Relief, Polyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL solution/ drops, listed with the FDA by 4 Trees, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Code Red Eye Drops Redness Relief (Polyethylene glycol 400, Tetrahydrozoline HCl).
What is the active ingredient?: Polyethylene glycol 400, Tetrahydrozoline hydrochloride.
Who is the labeler?: 4 Trees, LLC, NDC labeler code 83817. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Code Red Eye Drops Redness 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
Product	Strength	Form · route	Labeler	Product NDC
Refresh P.M.mineral oil, petrolatum	Mineral oil 425 mg/g; Petrolatum 573 mg/g	OintmentOphthalmic	Allergan, Inc.	0023-0240
Walgreens Soothing Eye Relief Lubricant Eye Dropspolyvinyl alcohol, povidone	Polyvinyl alcohol .5 g/100mL; Povidone .6 g/100mL	Solution/ dropsOphthalmic	Walgreens Co.	0363-0796
Regener-Eyes Ophthalmic Solution PROFESSIONAL STRENGTH XLglycerin ophthalmic solution	Glycerin 5 mg/mL	Solution/ dropsOphthalmic	M & M PRODUCTS, L.L.C.	87354-002
Colirio Oftal-Mycinglycerin, naphazoline hydrochloride	Glycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mL	Solution/ dropsOphthalmic	Grandall Distributing Co., Inc.	48201-107
Meijer Lubricant Eye Dropspolyethylene glycol 400, propylene glycol	Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL	Solution/ dropsOphthalmic	Meijer Distribution, Inc.	41250-319
Systane Ultra Preservative Freepolyethylene glycol 400 and propylene glycol	Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL	Solution/ dropsOphthalmic	Alcon Laboratories, Inc.	0065-1507
Regener-Eyes Ophthalmic Solution LITE XLglycerin ophthalmic solution	Glycerin 4 mg/mL	Solution/ dropsOphthalmic	M & M PRODUCTS, L.L.C.	87354-001
Polyvinyl Alcohol	Polyvinyl alcohol 14 mg/mL	Solution/ dropsOphthalmic	A-S Medication Solutions	50090-7119
Winco Maximum Redness Relief Eye Dropsglycerin, naphazoline hcl	Glycerin 500 mg/100mL; Naphazoline hydrochloride 30 mg/100mL	Solution/ dropsOphthalmic	WinCo Foods, LLC	67091-285
Publix Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochloride	Dextran 70 .1 g/100mL + 3 more ingredients	Solution/ dropsOphthalmic	Publix Super Markets, Inc.	56062-084
Meijer Redness Reliefglycerin, naphazoline hci	Naphazoline hydrochloride .012 g/100mL; Glycerin .25 g/100mL	Solution/ dropsOphthalmic	Meijer Distribution, Inc.	41250-846
Equate Lubricant Eye Dropspolyethylene glycol 400, propylene glycol	Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL	Solution/ dropsOphthalmic	Walmart, Inc.	79903-131
Artificial Tears Lubricant Eye Dropsglycerin, propylene glycol	Glycerin 3 mg/mL; Propylene glycol 10 mg/mL	Solution/ dropsOphthalmic	CVS Pharmacy	69842-454
Meijer Lubricant Eye Dropscarboxymethylcellulose sodium	Carboxymethylcellulose sodium .5 g/100mL	Solution/ dropsOphthalmic	Meijer Distribution, Inc.	79481-0066
Systane Hydration PF Preservative Freepolyethylene glycol 400 and propylene glycol	Polyethylene glycol 400 4 mg/mL; Propylene glycol 3 mg/mL	Solution/ dropsOphthalmic	Alcon Laboratories, Inc.	0065-1510
REFRESH OPTIVE Advancedcarboxymethylcellulose sodium, glycerin, and polysorbate 80	Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients	Solution/ dropsOphthalmic	Allergan, Inc.	0023-4307
Exchange Select Maximum Redness Relief Eye Dropsglycerin, naphazoline hcl	Glycerin .5 g/100mL; Naphazoline hydrochloride .03 g/100mL	Solution/ dropsOphthalmic	Army and Air Force Exchange Service	55301-998
Tyson 2.0 Mike Red Eye Drops For Dry High Eyesglycerin, naphazoline hcl	Glycerin .5 g/100mL; Naphazoline hydrochloride .03 g/100mL	Solution/ dropsOphthalmic	Jbrands Pharma L.L.C.	84843-0050
Sunmark Eye Drops Advanced Moisturizer/Lubricantdextran, polyethylene glycol 400, povidone, tetrahydrozoline	Dextran 70 .1 g/100mL + 3 more ingredients	Solution/ dropsOphthalmic	Strategic Sourcing Services LLC	49348-697
Discount Drug Mart Eye Drops A.C.tetrahydrozoline hcl, zinc sulfate	Tetrahydrozoline hydrochloride .05 g/100mL; Zinc sulfate .25 g/100mL	SolutionOphthalmic	Discount Drug Mart	53943-062

Showing 20 of 39.