NDC codes

FDA NDC Directory
Product NDC (as listed)51801-003Labeler and product segments. Claims need a package NDC.
Product NDC at billing width51801-0003Add 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
51801-003-4051801000340100 POUCH in 1 CARTON (51801-003-40) / 1 STRIP in 1 POUCHMarketed from Jul 30, 2013
51801-003-5051801000350300 POUCH in 1 CARTON (51801-003-50) / 1 STRIP in 1 POUCHMarketed from Jul 30, 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)
GloStrips
Generic name (nonproprietary)
fluorescein sodium
Active ingredients
Fluorescein sodium — .6 mg/1
Dosage form
Strip
Route
Ophthalmic
Labeler
Nomax Inc.
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Dyes (Mechanism)
Identifiers
Product ID 51801-003_f63dc6e5-6c40-4731-be57-73860ea7a403SPL ID f63dc6e5-6c40-4731-be57-73860ea7a403SPL set ID f5dbf66b-068d-4408-989b-4f29b3c48738UNII 93X55PE38X
Pharmacologic class
Diagnostic Dye

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

N451801000340 followed by a unit qualifier and the quantity

Package 51801-0003-40. 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)

INDICATIONS For staining the anterior segment of the eye in disclosing corneal injury, in applanation tonometry and when fitting contact lenses.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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