Phenylephrine Hydrochloride NDC 42702-102

NDC codes

FDA NDC Directory

Product NDC (as listed)42702-102Labeler and product segments. Claims need a package NDC.

Product NDC at billing width42702-0102Add 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 NDC	11-digit (billing)	Package	Copy
42702-102-10	42702010210	1 BOTTLE, DROPPER in 1 CARTON (42702-102-10) / 10 mL in 1 BOTTLE, DROPPERMarketed from Apr 15, 2020
42702-102-15	42702010215	1 BOTTLE, DROPPER in 1 CARTON (42702-102-15) / 15 mL in 1 BOTTLE, DROPPERMarketed from Apr 15, 2013

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): Phenylephrine Hydrochloride
Generic name (nonproprietary): phenylephrine hydrochloride
Active ingredients: Phenylephrine hydrochloride — 25 mg/mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: Paragon BioTeck, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 203510
Marketing start: Apr 15, 2013
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha1-Agonists (Mechanism)
Identifiers: Product ID 42702-102_ff463c02-5533-c9ad-e053-6294a90a7035SPL ID ff463c02-5533-c9ad-e053-6294a90a7035SPL set ID a4d3fe20-f063-11e0-ac29-0002a5d5c51bRxCUI 1234571, 1234579UNII 04JA59TNSJ
Pharmacologic class: alpha-1 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

N442702010210 followed by a unit qualifier and the quantity

Package 42702-0102-10. 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 Jun 29, 2023.

Indications (excerpt from the label)

Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% and 10% is indicated to dilate the pupil. Phenylephrine Hydrochloride Ophthalmic Solution, USP 2.5% and 10% is an alpha-1 adrenergic receptor agonist indicated to dilate the pupil (1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 203510

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

FDA NDC Directory listings under NDA 203510
Product	Strength	Form · route	Labeler	Product NDC
Phenylephrine Hydrochloride	Phenylephrine hydrochloride 25 mg/mL	Solution/ dropsOphthalmic	Bausch & Lomb Americas Inc.	82260-102
Phenylephrine Hydrochloride	Phenylephrine hydrochloride 25 mg/mL	Solution/ dropsOphthalmic	Bausch & Lomb Americas Inc.	82260-103
Phenylephrine Hydrochloride	Phenylephrine hydrochloride 100 mg/mL	Solution/ dropsOphthalmic	Paragon BioTeck, Inc.	42702-103