Over-the-counter drug · OTC MONOGRAPH DRUG
Refresh Classic (Polyvinyl alcohol, povidone) NDC 50090-2358
Polyvinyl alcohol 14 mg/mL; Povidone 6 mg/mL · Solution/ drops · Ophthalmic · A-S Medication Solutions
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50090-2358-1 | 5009023580150090235801 | 30 VIAL, SINGLE-USE in 1 CARTON (50090-2358-1) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Apr 21, 2016 |
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)
- Refresh Classic
- Generic name (nonproprietary)
- polyvinyl alcohol, povidone
- Active ingredients
- Polyvinyl alcohol — 14 mg/mLPovidone — 6 mg/mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- A-S Medication SolutionsNDC labeler code 50090
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 50090-2358_2a6ae637-2f65-4a5f-99d3-e3560f67b8f0SPL ID 2a6ae637-2f65-4a5f-99d3-e3560f67b8f0SPL set ID 3bf6193c-56db-45ad-844c-58eb8c33cba9RxCUI 359969UNII 532B59J990, FZ989GH94E
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
N450090235801followed by a unit qualifier and the quantityPackage 50090-2358-01. 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)
Uses 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 50090-2358
- What is NDC 50090-2358?
- 50090-2358 is the product NDC for Refresh Classic, Polyvinyl alcohol 14 mg/mL; Povidone 6 mg/mL solution/ drops, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Refresh Classic (Polyvinyl Alcohol, Povidone).
- What is the active ingredient?
- Polyvinyl alcohol, Povidone.
- Who is the labeler?
- A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Refresh Classic?
- 1 other product NDC are listed under this name. See all Refresh Classic NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Refresh Classic products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| REFRESH Classicpolyvinyl alcohol, povidone | Polyvinyl alcohol, Unspecified 14 mg/mL; Povidone 6 mg/mL | Solution/ dropsOphthalmic | Allergan, Inc. | 0023-0506 | 00023-0506-0100023-0506-50 |
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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