NDC codes

FDA NDC Directory
Product NDC (as listed)42571-419Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42571-0419Add 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
42571-419-5642571041956425710419561 BOTTLE, DROPPER in 1 CARTON (42571-419-56) / 10 mL in 1 BOTTLE, DROPPERMarketed from Apr 1, 2024
42571-419-5742571041957425710419571 BOTTLE, DROPPER in 1 CARTON (42571-419-57) / 15 mL in 1 BOTTLE, DROPPERMarketed from Apr 1, 2024
42571-419-9242571041992425710419921 BOTTLE, DROPPER in 1 CARTON (42571-419-92) / 5 mL in 1 BOTTLE, DROPPERMarketed from Apr 1, 2024

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)
Brimonidine tartrate
Generic name (nonproprietary)
brimonidine tartrate
Active ingredients
Brimonidine tartrate — 2 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
Micro Labs LimitedNDC labeler code 42571
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217846
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 42571-419_3aac4288-aa47-296b-e063-6294a90a8fd8SPL ID 3aac4288-aa47-296b-e063-6294a90a8fd8SPL set ID 75c5f708-1afb-4505-94a6-a2c0afb0aedcRxCUI 861200UNII 4S9CL2DY2H
Pharmacologic class
alpha-Adrenergic Agonist

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

N442571041956 followed by a unit qualifier and the quantity

Package 42571-0419-56. 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)

Brimonidine tartrate ophthalmic solution 0.2% is indicated for lowering intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. The IOP lowering efficacy of brimonidine tartrate ophthalmic solution diminishes over time in some patients. This loss of effect appears with a variable time of onset in each patient and should be closely monitored. Brimonidine tartrate ophthalmic solution 0.2% is an alpha adrenergic agonist indicated for lowering intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 42571-419

What is NDC 42571-419?
42571-419 is the product NDC for Brimonidine tartrate, Brimonidine tartrate 2 mg/mL solution/ drops, listed with the FDA by Micro Labs Limited. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Brimonidine tartrate.
What is the active ingredient?
Brimonidine tartrate.
Who is the labeler?
Micro Labs Limited, NDC labeler code 42571. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Brimonidine tartrate?
21 other product NDCs are listed under this name. See all Brimonidine tartrate 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 Brimonidine tartrate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicUpsher-Smith Laboratories, LLC0832-143500832-1435-0500832-1435-1000832-1435-15
brimonidine tartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicMicro Labs Limited42571-46242571-0462-5642571-0462-92
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicGland Pharma Limited68083-62668083-0626-0568083-0626-1068083-0626-15
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicSomerset Therapeutics, LLC70069-56670069-0566-01
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicSomerset Therapeutics, LLC70069-56770069-0567-01
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicSomerset Therapeutics, LLC70069-56870069-0568-01
Brimonidine TartrateBrimonidine tartrate 1.5 mg/mLSolution/ dropsOphthalmicUpsher-Smith Laboratories, LLC0832-142000832-1420-0500832-1420-1000832-1420-15
Brimonidine tartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicPacific Pharma, Inc.82182-32182182-0321-0582182-0321-1082182-0321-15
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicApotex Corp.60505-057760505-0577-0160505-0577-0260505-0577-03
Brimonidine TartrateBrimonidine tartrate 1 mg/mLSolution/ dropsOphthalmicAlembic Pharmaceuticals Limited46708-74946708-0749-0546708-0749-1046708-0749-15

All 22 Brimonidine tartrate NDCs

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