NDC codes

FDA NDC Directory
Product NDC (as listed)30142-398Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0398Add 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
30142-398-0530142039805301420398051 BOTTLE in 1 CARTON (30142-398-05) / 5 mL in 1 BOTTLEMarketed from Jun 1, 2022

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)
Eye Itch Relief
Generic name (nonproprietary)
ketotifen fumarate
Active ingredients
Ketotifen fumarate — .25 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021996
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 30142-398_c9bce135-e1e4-4faa-b74c-22f69a060a3eSPL ID c9bce135-e1e4-4faa-b74c-22f69a060a3eSPL set ID eb81286f-72b4-42b3-a596-439d0aeae93fRxCUI 311237UNII HBD503WOROUPC 0041260103407
Pharmacologic class
Histamine-1 Receptor Inhibitor

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

N430142039805 followed by a unit qualifier and the quantity

Package 30142-0398-05. 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 for the temporary relief of itchy eyes due to ragweed, pollen, 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 30142-398

What is NDC 30142-398?
30142-398 is the product NDC for Eye Itch Relief (ketotifen fumarate), Ketotifen fumarate .25 mg/mL solution/ drops, listed with the FDA by Kroger Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Eye Itch Relief (Ketotifen fumarate).
What is the active ingredient?
Ketotifen fumarate.
Who is the labeler?
Kroger Company, NDC labeler code 30142. 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 Itch Relief?
10 other product NDCs are listed under this name. See all Eye Itch 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 Itch Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicA-S Medication Solutions50090-725350090-7253-00
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicPERRIGO DIRECT INC.50804-60150804-0601-05
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicTOPCO ASSOCIATES LLC36800-09736800-0097-05
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicRedpharm Drug67296-224567296-2245-05
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicCardinal Health70000-052270000-0522-0170000-0522-02
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicCVS Pharmacy69842-27569842-0275-0569842-0275-1069842-0275-20
Eye Itch Reliefketotifen fumarateKetotifen fumarate .35 mg/mLSolution/ dropsOphthalmicCARDINAL HEALTH 110, LLC. DBA LEADER70000-012470000-0124-01
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicSafeway21130-60121130-0601-05
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicTarget Corporation11673-06411673-0064-05
Eye Itch Reliefketotifen fumarateKetotifen fumarate .35 mg/mLSolutionOphthalmicWalgreen Company0363-003800363-0038-0500363-0038-10

Other NDCs under NDA 021996

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

FDA NDC Directory listings under NDA 021996
ProductStrengthForm · routeLabelerProduct NDC
Alawayketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated24208-601
Equate Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicWal-Mart Stores, Inc.49035-231
Eye Itch Reliefketotifen fumarateKetotifen fumarate .35 mg/mLSolutionOphthalmicWalgreen Company0363-0038
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicTarget Corporation11673-064
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicSafeway21130-601
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicTOPCO ASSOCIATES LLC36800-097
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicA-S Medication Solutions50090-7253
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicPERRIGO DIRECT INC.50804-601
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicRedpharm Drug67296-2245
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicCVS Pharmacy69842-275
Eye Itch Reliefketotifen fumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicCardinal Health70000-0522
Ketotifen FumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicRugby Laboratories0536-1252
Ketotifen FumarateKetotifen fumarate .25 mg/mLSolution/ dropsOphthalmicA-S Medication Solutions50090-6472

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