NDC codes

FDA NDC Directory
Product NDC (as listed)50090-4476Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-4476Add 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
50090-4476-0500904476005009044760030 VIAL, SINGLE-USE in 1 TRAY (50090-4476-0) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Aug 26, 2019

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)
Restasis
Generic name (nonproprietary)
cyclosporine
Active ingredients
Cyclosporine — .5 mg/mL
Dosage form
Emulsion
Route
Ophthalmic
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 050790
Marketing start
Listing expires
Other FDA classes
Calcineurin Inhibitors (Mechanism)Cytochrome P450 3A4 Inhibitors (Mechanism)P-Glycoprotein Inhibitors (Mechanism)
Identifiers
Product ID 50090-4476_0a22357f-0136-44d5-ab37-0a7d15287b30SPL ID 0a22357f-0136-44d5-ab37-0a7d15287b30SPL set ID ee57c1c0-2fcd-4628-8e33-4e0a9dadcb03RxCUI 2572292, 2572293UNII 83HN0GTJ6D
Pharmacologic class
Calcineurin Inhibitor Immunosuppressant

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

N450090447600 followed by a unit qualifier and the quantity

Package 50090-4476-00. 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)

1 IN DICATIONS AND USAGE RESTASIS ® ophthalmic emulsion is indicated to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. Increased tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal plugs. RESTASIS ® is a calcineurin inhibitor immunosuppressant indicated to increase tear production in patients whose tear production is presumed to be suppressed due to ocular inflammation associated with keratoconjunctivitis sicca. Increased tear production was not seen in patients currently taking topical anti-inflammatory drugs or using punctal …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50090-4476

What is NDC 50090-4476?
50090-4476 is the product NDC for Restasis (cyclosporine), Cyclosporine .5 mg/mL emulsion, 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?
Restasis (Cyclosporine).
What is the active ingredient?
Cyclosporine.
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 Restasis?
1 other product NDC are listed under this name. See all Restasis 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 Restasis NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
RestasiscyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicAllergan, Inc.0023-916300023-9163-1200023-9163-3000023-9163-60

Other NDCs under NDA 050790

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

FDA NDC Directory listings under NDA 050790
ProductStrengthForm · routeLabelerProduct NDC
CyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicKVK-TECH, INC.10702-808
CyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicApotex Corp60505-6202
CyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicLupin Pharmaceuticals, Inc.68180-214
RestasiscyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicAllergan, Inc.0023-9163
Restasis MultiDosecyclosporineCyclosporine .5 mg/mLEmulsionOphthalmicAllergan, Inc.0023-5301

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in