NDC codes

FDA NDC Directory
Product NDC (as listed)87770-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87770-0001Add 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
87770-001-018777000010187770000101.15 g in 1 BOX (87770-001-01)Marketed from Jun 3, 2026

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

Generic name (nonproprietary)
redness reliever lubricant eye drops
Active ingredients
Tetrahydrozoline — 5 mg/100gPolyethylene glycol 400 — 1 g/100g
Dosage form
Solution
Route
Ophthalmic
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 018
Marketing start
Listing expires
Identifiers
Product ID 87770-001_53d4e9b0-c9a1-797a-e063-6294a90ad0cfSPL ID 53d4e9b0-c9a1-797a-e063-6294a90ad0cfSPL set ID 53d4e9b0-c9a0-797a-e063-6294a90ad0cfRxCUI 996209UNII S9U025Y077, B697894SGQ

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

N487770000101 followed by a unit qualifier and the quantity

Package 87770-0001-01. 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)

Uses • relieves redness caused by minor eye irritation • provides soothing moisture for dry, tired, or irritated eyes • helps protect eyes from dryness caused by screen time, wind, dust, or sunlight • temporarily relieves burning and discomfort associated with dry eyes • lubricates and refreshes eyes for long-lasting comfort

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 87770-001

What is NDC 87770-001?
87770-001 is the product NDC for VitaPhyte Redness Reliever Lubricant Eye Drops, Tetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100g solution, listed with the FDA by Guangzhou Liyan Cosmetics Technology Co., Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
VitaPhyte Redness Reliever Lubricant Eye Drops (Redness Reliever Lubricant Eye Drops).
What is the active ingredient?
Tetrahydrozoline, Polyethylene glycol 400.
Who is the labeler?
Guangzhou Liyan Cosmetics Technology Co., Ltd., NDC labeler code 87770. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for VitaPhyte Redness Reliever Lubricant Eye Drops?
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
Walgreens Eye Drops Maximum Redness Relief 15mLglycerin, naphazoline hciNaphazoline hydrochloride .03 g/100mL; Glycerin .5 g/100mLSolution/ dropsOphthalmicWalgreen Company0363-4546
Vista Gonio Eye Lubricanthypromellose ophthalmic solutionHypromellose 2208 (100 mpa.s) 25 mg/15mLSolutionOphthalmicRed Wedding LLC77790-022
Capasil Pain Relievingmenthol, methyl salicylateMethyl salicylate 100 mg/mL; Menthol 20 mg/mLCreamTopicalPureTek Corporation59088-434
Rugby Eye Washwater, purifiedWater 99.05 g/100mLSolutionOphthalmicA-S Medication Solutions50090-7440
DG Original Eye Dropstetrahydrozoline hclTetrahydrozoline hydrochloride .05 g/100mLSolutionOphthalmicDolgencorp LLC55910-363
TopCare Health Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 g/100mLSolution/ dropsOphthalmicTopcare Associates LLC76162-089
VitaPhyte Lubricating Eye Dropslubricating eye dropsCarboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mLSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-008
VISTA Hypromellose Dry Eye ReliefhypromelloseHypromellose 2910 (50 mpa.s) .3 g/mLGelOphthalmicRed Wedding LLC77790-002
EyS Eye WashwaterWater 14.85 mL/15mLSolutionOphthalmicEyes-Plus LLC57349-220
DG Health Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hclPovidone, Unspecified 1 g/100mL + 3 more ingredientsSolutionOphthalmicDolgencorp LLC55910-361
Fendall 2000 Pure Flowpurified waterWater 98.6 L/100LLiquidOphthalmicHoneywell Safety Products USA, Inc.0498-0631
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
VitaPhyte Lubricant Eye Dropslubricant eye dropsCarboxymethylcellulose sodium 5 mg/mL; Glycerin 3 mg/mLSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-020
DG Health Dry Eye Reliefglycerin, hypromellose, polypropylene glycol 400Polyethylene glycol 400 1 g/100mL + 2 more ingredientsSolutionOphthalmicDolgencorp LLC55910-362
OptaseglycerinGlycerin 2 mg/mLSolution/ dropsOphthalmicScope Health Inc72972-002
Rippleglycerin, povidoneGlycerin .63 g/100mL; Povidone .25 g/100mLSolution/ dropsOphthalmicCorneaCare Inc82875-003
SalinenasalSodium chloride 6.5 mg/mLSprayNasalGERI-CARE PHARMACEUTICAL CORP57896-333
Signature Care Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-705
OptaseglycerinGlycerin 1 mg/mLSprayOphthalmicScope Health Inc72972-001
Discount Drug Mart Eye Drops Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicDiscount Drug Mart, Inc.53943-490

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