What is NDC 58790-003?

58790-003 is the product NDC for TheraTears (carboxymethylcellulose sodium), Carboxymethylcellulose sodium, Unspecified form 10 mg/mL gel, listed with the FDA by MEDTECH PRODUCTS INC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

TheraTears (Carboxymethylcellulose sodium).

What is the active ingredient?

Carboxymethylcellulose sodium, Unspecified form.

MEDTECH PRODUCTS INC, NDC labeler code 58790. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for TheraTears?

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.

TheraTears NDC 58790-003 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)58790-003Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58790-0003Add 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 NDC	11-digit (billing)	Package	Copy
58790-003-30	5879000033058790000330	6 POUCH in 1 CARTON (58790-003-30) / 5 VIAL in 1 POUCH / .6 mL in 1 VIALMarketed from Dec 7, 2018

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): TheraTears
Generic name (nonproprietary): carboxymethylcellulose sodium
Active ingredients: Carboxymethylcellulose sodium, Unspecified form — 10 mg/mL
Dosage form: Gel
Route: Ophthalmic
Labeler: MEDTECH PRODUCTS INCNDC labeler code 58790
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Dec 7, 2018
Listing expires: Dec 31, 2027
Identifiers: Product ID 58790-003_5b0f0fc3-3f46-4acb-e063-6294a90a72afSPL ID 5b0f0fc3-3f46-4acb-e063-6294a90a72afSPL set ID 17a01236-130f-495b-9f8d-92b6a23b2dc5RxCUI 579907, 998666UNII K679OBS311

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

N458790000330 followed by a unit qualifier and the quantity

Package 58790-0003-30. 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 Sep 9, 2026.

Indications (excerpt from the label)

Uses As a lubricant to relieve dryness of the eye. As a protectant against further irritation of the eye. For temporary relief of burning, irritation, and discomfort including exposure to wind or sun.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58790-003

What is NDC 58790-003?: 58790-003 is the product NDC for TheraTears (carboxymethylcellulose sodium), Carboxymethylcellulose sodium, Unspecified form 10 mg/mL gel, listed with the FDA by MEDTECH PRODUCTS INC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: TheraTears (Carboxymethylcellulose sodium).
What is the active ingredient?: Carboxymethylcellulose sodium, Unspecified form.
Who is the labeler?: MEDTECH PRODUCTS INC, NDC labeler code 58790. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for TheraTears?: 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
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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TheraTears (Carboxymethylcellulose sodium) NDC 58790-003