NDC codes

FDA NDC Directory
Product NDC (as listed)0363-0430Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-0430Add 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
0363-0430-1500363043015003630430151 BOTTLE, DROPPER in 1 CARTON (0363-0430-15) / 15 mL in 1 BOTTLE, DROPPERMarketed from Aug 31, 2010

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)
Eye Allergy Relief
Generic name (nonproprietary)
pheniramine maleate and naphazoline hydrochloride
Active ingredients
Naphazoline hydrochloride — .2675 mg/mLPheniramine maleate — 3.15 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
Walgreen CompanyNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020065
Marketing start
Listing expires
Identifiers
Product ID 0363-0430_48618678-5073-206c-e063-6294a90afb13SPL ID 48618678-5073-206c-e063-6294a90afb13SPL set ID ddd892af-56d0-4755-af87-807ea8f8e9caRxCUI 1043704UNII MZ1131787D, NYW905655B

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

N400363043015 followed by a unit qualifier and the quantity

Package 00363-0430-15. 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 temporarily relieves itching and redness caused by pollen, ragweed, grass, animal hair and dander

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-0430

What is NDC 0363-0430?
0363-0430 is the product NDC for Eye Allergy Relief, Naphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mL solution/ drops, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Eye Allergy Relief (Pheniramine Maleate and Naphazoline Hydrochloride).
What is the active ingredient?
Naphazoline hydrochloride, Pheniramine maleate.
Who is the labeler?
Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Eye Allergy Relief?
4 other product NDCs are listed under this name. See all Eye Allergy Relief 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 Eye Allergy Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Eye Allergy Reliefnaphazoline hydrochloride and pheniramine maleateNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicCVS PHARMACY69842-44169842-0441-15
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicDOLGENCORP, LLC55910-55255910-0552-15
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicTarget Corporation11673-43011673-0430-15
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicWal-Mart Stores Inc49035-43049035-0430-15

Other NDCs under NDA 020065

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

FDA NDC Directory listings under NDA 020065
ProductStrengthForm · routeLabelerProduct NDC
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicTarget Corporation11673-430
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicWal-Mart Stores Inc49035-430
Eye Allergy Reliefpheniramine maleate and naphazoline hydrochlorideNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicDOLGENCORP, LLC55910-552
Eye Allergy Reliefnaphazoline hydrochloride and pheniramine maleateNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicCVS PHARMACY69842-441
Opcon-Anaphazoline hydrochloride and pheniramine maleateNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated24208-430
Opcon-Anaphazoline hydrochloride and pheniramine maleateNaphazoline hydrochloride .2675 mg/mL; Pheniramine maleate 3.15 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated24208-431

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