Over-the-counter drug · OTC MONOGRAPH DRUG
LubriFresh PM (Light mineral oil, white petrolatum) NDC 11716-7540
Light mineral oil 150 mg/g; White petrolatum 830 mg/g · Ointment · Ophthalmic · Hanlim Pharm Co. , LTD
NDC codes
FDA NDC DirectoryProduct NDC (as listed)11716-7540Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11716-7540Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11716-7540-1 | 1171675400111716754001 | 1 TUBE in 1 BOX (11716-7540-1) / 3.5 g in 1 TUBEMarketed from Jul 21, 2025 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- LubriFresh PM
- Generic name (nonproprietary)
- light mineral oil, white petrolatum
- Active ingredients
- Light mineral oil — 150 mg/gWhite petrolatum — 830 mg/g
- Dosage form
- Ointment
- Route
- Ophthalmic
- Labeler
- Hanlim Pharm Co. , LTDNDC labeler code 11716
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 11716-7540_3b32b603-a3ca-586c-e063-6294a90aedd1SPL ID 3b32b603-a3ca-586c-e063-6294a90aedd1SPL set ID 3b329232-a562-6893-e063-6394a90aa41fRxCUI 746083, 1086613UNII N6K5787QVP, B6E5W8RQJ4UPC 0309047540129
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
N411716754001followed by a unit qualifier and the quantityPackage 11716-7540-01. 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)
for the temporary relief of burning, irritation, and discomfort due to dryness of the eye or exposure to wind or sun may be used as a protectant against further irritation
Excerpt only. Read the full label for complete information.
About NDC 11716-7540
- What is NDC 11716-7540?
- 11716-7540 is the product NDC for LubriFresh PM, Light mineral oil 150 mg/g; White petrolatum 830 mg/g ointment, listed with the FDA by Hanlim Pharm Co. , LTD. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- LubriFresh PM (Light Mineral Oil, White Petrolatum).
- What is the active ingredient?
- Light mineral oil, White petrolatum.
- Who is the labeler?
- Hanlim Pharm Co. , LTD, NDC labeler code 11716. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for LubriFresh PM?
- 1 other product NDC are listed under this name. See all LubriFresh PM NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other LubriFresh PM products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| LubriFresh PMlight mineral oil, white petrolatum | Light mineral oil 150 mg/g; White petrolatum 830 mg/g | OintmentOphthalmic | Major Pharmaceuticals | 0904-7540 | 00904-7540-12 |
Other NDCs under M 018
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Eyewash Additive Concentratewater and propylene glycol | Water 2374.4 L/2800L; Propylene glycol 280 kg/2800L | LiquidOphthalmic | Haws Corporation | 66051-236 |
| Signature Care Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | Better Living Brands, LLC | 21130-756 |
| Polyvinyl Alcohol | Polyvinyl alcohol 14 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-7119 |
| 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 |
| Sodium Chloride | Sodium chloride 1000 mg/1 | TabletOral | Rising Pharma Holdings, Inc. | 57237-361 |
| VitaPhyte Redness Reliever Lubricant Eye Dropsredness reliever lubricant eye drops | Tetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100g | SolutionOphthalmic | Guangzhou Liyan Cosmetics Technology Co., Ltd. | 87770-001 |
| Signature Care Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium .5 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-705 |
| Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Droptics LLC | 85211-001 |
| Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-702 |
| Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80 | Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredients | LiquidOphthalmic | Droptics LLC | 85211-002 |
| Gentle Eyes Lubricant Eye Dropscarboxymethylcellulose sodium | Carboxymethylcellulose sodium 5 mg/mL | Solution/ dropsOphthalmic | TRP Company | 17312-430 |
| Signature Care Eye Drops Redness and Dry Eye Reliefglycerin, naphazoline hydrochloride | Glycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mL | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-703 |
| Signature Care Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl | Dextran 70 100 mg/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Better Living Brands LLC | 21130-704 |
| REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80 | Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredients | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-4230 |
| Sodium Chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals, LLC | 58657-119 |
| CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | CVS | 69842-746 |
| Sodium Chloride Normal Saltsodium chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals | 58657-118 |
| Best Choice Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochloride | Dextran 70 .1 g/100mL + 3 more ingredients | Solution/ dropsOphthalmic | Valu Merchandisers, Co. | 63941-942 |
| Meijer Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfate | Tetrahydrozoline hydrochloride .05 g/100mL + 2 more ingredients | Solution/ dropsOphthalmic | Meijer, Inc. | 79481-0250 |
| iVIZIA Dry Eyepovidone | Povidone 25 mg/5mL | Solution/ dropsOphthalmic | Thea Pharma Inc. | 82584-700 |
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