NDC codes

FDA NDC Directory
Product NDC (as listed)54799-917Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54799-0917Add 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
54799-917-30547990917305479909173030 VIAL, SINGLE-DOSE in 1 CONTAINER (54799-917-30) / .4 mL in 1 VIAL, SINGLE-DOSEMarketed from Jan 5, 2012

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)
retaine MGD
Generic name (nonproprietary)
mineral oil
Active ingredients
Light mineral oil — 2 mg/.4mLMineral oil — 2 mg/.4mL
Dosage form
Emulsion
Route
Ophthalmic
Labeler
OCuSOFT LLCNDC labeler code 54799
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 018
Marketing start
Listing expires
Identifiers
Product ID 54799-917_e5019f11-7124-4184-8481-8a1977cd186eSPL ID e5019f11-7124-4184-8481-8a1977cd186eSPL set ID 06f57d46-96c7-4093-84aa-874ff4b2131dRxCUI 1236277UNII N6K5787QVP, T5L8T28FGP

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

N454799091730 followed by a unit qualifier and the quantity

Package 54799-0917-30. 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 use as a protectant against further irritation or to relieve dryness of the eye.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 54799-917

What is NDC 54799-917?
54799-917 is the product NDC for retaine MGD (mineral oil), Light mineral oil 2 mg/.4mL; Mineral oil 2 mg/.4mL emulsion, listed with the FDA by OCuSOFT LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
retaine MGD (Mineral Oil).
What is the active ingredient?
Light mineral oil, Mineral oil.
Who is the labeler?
OCuSOFT LLC, NDC labeler code 54799. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for retaine MGD?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 018

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

FDA NDC Directory listings under M 018
ProductStrengthForm · routeLabelerProduct NDC
Eyewash Additive Concentratewater and propylene glycolWater 2374.4 L/2800L; Propylene glycol 280 kg/2800LLiquidOphthalmicHaws Corporation66051-236
Signature Care Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolutionOphthalmicBetter Living Brands, LLC21130-756
Polyvinyl AlcoholPolyvinyl alcohol 14 mg/mLSolution/ dropsOphthalmicA-S Medication Solutions50090-7119
Sunmark Eye Drops Advanced Moisturizer/Lubricantdextran, polyethylene glycol 400, povidone, tetrahydrozolineDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicStrategic Sourcing Services LLC49348-697
Sodium ChlorideSodium chloride 1000 mg/1TabletOralRising Pharma Holdings, Inc.57237-361
VitaPhyte Redness Reliever Lubricant Eye Dropsredness reliever lubricant eye dropsTetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100gSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-001
Signature Care Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-705
Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycolNaphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mLLiquidOphthalmicDroptics LLC85211-001
Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-702
Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredientsLiquidOphthalmicDroptics LLC85211-002
Gentle Eyes Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium 5 mg/mLSolution/ dropsOphthalmicTRP Company17312-430
Signature Care Eye Drops Redness and Dry Eye Reliefglycerin, naphazoline hydrochlorideGlycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-703
Signature Care Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hclDextran 70 100 mg/100mL + 3 more ingredientsSolution/ dropsOphthalmicBetter Living Brands LLC21130-704
REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredientsSolution/ dropsOphthalmicAllergan, Inc.0023-4230
Sodium ChlorideSodium chloride 1 g/1TabletOralMethod Pharmaceuticals, LLC58657-119
CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolutionOphthalmicCVS69842-746
Sodium Chloride Normal Saltsodium chlorideSodium chloride 1 g/1TabletOralMethod Pharmaceuticals58657-118
Best Choice Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicValu Merchandisers, Co.63941-942
Meijer Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateTetrahydrozoline hydrochloride .05 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicMeijer, Inc.79481-0250
iVIZIA Dry EyepovidonePovidone 25 mg/5mLSolution/ dropsOphthalmicThea Pharma Inc.82584-700

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