NDC codes

FDA NDC Directory
Product NDC (as listed)0023-9163Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00023-9163Add 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
0023-9163-1200023916312000239163125 VIAL, SINGLE-USE in 1 CARTON (0023-9163-12) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Apr 1, 2003 · Sample package
0023-9163-30000239163300002391633030 VIAL, SINGLE-USE in 1 TRAY (0023-9163-30) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Apr 1, 2003
0023-9163-60000239163600002391636060 VIAL, SINGLE-USE in 1 TRAY (0023-9163-60) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Apr 1, 2003

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Restasis
Generic name (nonproprietary)
cyclosporine
Active ingredients
Cyclosporine — .5 mg/mL
Dosage form
Emulsion
Route
Ophthalmic
Labeler
Allergan, Inc.NDC labeler code 0023
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 050790
Marketing start
Listing expires
Other FDA classes
Calcineurin Inhibitors (Mechanism)Cytochrome P450 3A4 Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)
Identifiers
Product ID 0023-9163_3b350ae7-28e6-4dbd-824c-d0fe46b81e5aSPL ID 3b350ae7-28e6-4dbd-824c-d0fe46b81e5aSPL set ID 8e24af2b-bc1c-4849-94f2-6df950cdca89RxCUI 2572292, 2572293UNII 83HN0GTJ6D
Pharmacologic class
Calcineurin Inhibitor Immunosuppressant

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

N400023916312 followed by a unit qualifier and the quantity

Package 00023-9163-12. 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)

1 IN DICATIONS AND USAGE RESTASIS ® ophthalmic emulsion is indicated to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. Increased tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal plugs. RESTASIS is a calcineurin inhibitor immunosuppressant indicated to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. Increased tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal pl…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0023-9163

What is NDC 0023-9163?
0023-9163 is the product NDC for Restasis (cyclosporine), Cyclosporine .5 mg/mL emulsion, listed with the FDA by Allergan, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Restasis (Cyclosporine).
What is the active ingredient?
Cyclosporine.
Who is the labeler?
Allergan, Inc., NDC labeler code 0023. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Restasis?
1 other product NDC are listed under this name. See all Restasis 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 Restasis NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
RestasiscyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicA-S Medication Solutions50090-447650090-4476-00

Other NDCs under NDA 050790

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

FDA NDC Directory listings under NDA 050790
ProductStrengthForm · routeLabelerProduct NDC
CyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicKVK-TECH, INC.10702-808
CyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicApotex Corp60505-6202
CyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicLupin Pharmaceuticals, Inc.68180-214
RestasiscyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicA-S Medication Solutions50090-4476
Restasis MultiDosecyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicAllergan, Inc.0023-5301

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