What is NDC 58790-013?

58790-013 is the product NDC for TheraTears Dry and Tired (carboxymethylcellulose sodium), Carboxymethylcellulose sodium 5 mg/mL solution/ drops, 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 Dry and Tired (Carboxymethylcellulose sodium).

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 Dry and Tired?

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 Dry and Tired NDC 58790-013

NDC codes

FDA NDC Directory

Product NDC (as listed)58790-013Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58790-0013Add 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
58790-013-30	5879000133058790001330	6 POUCH in 1 CARTON (58790-013-30) / 5 VIAL, SINGLE-USE in 1 POUCH / .4 mL in 1 VIAL, SINGLE-USEMarketed from Jan 30, 2026

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 Dry and Tired
Generic name (nonproprietary): carboxymethylcellulose sodium
Active ingredients: Carboxymethylcellulose sodium — 5 mg/mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: MEDTECH PRODUCTS INCNDC labeler code 58790
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Jan 30, 2026
Listing expires: Dec 31, 2027
Identifiers: Product ID 58790-013_6dc69370-2db2-4a20-91cd-5f2d5c781b62SPL ID 6dc69370-2db2-4a20-91cd-5f2d5c781b62SPL set ID 02b70e2d-8159-4637-a282-9eac1468e786RxCUI 1188426, 2733992UNII 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

N458790001330 followed by a unit qualifier and the quantity

Package 58790-0013-30. 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 Jan 7, 2026.

Indications (excerpt from the label)

Uses For the temporary relief of burning and irritation due to dryness of the eye. For the temporary relief of discomfort due to minor irritations of the eye or from exposure to wind and sun. For use as a lubricant to prevent 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 58790-013

What is NDC 58790-013?: 58790-013 is the product NDC for TheraTears Dry and Tired (carboxymethylcellulose sodium), Carboxymethylcellulose sodium 5 mg/mL solution/ drops, 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 Dry and Tired (Carboxymethylcellulose sodium).
What is the active ingredient?: Carboxymethylcellulose sodium.
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 Dry and Tired?: 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
Quality Choice Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycol	Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL	Solution/ dropsOphthalmic	Chain Drug Marketing Assoc., Inc.	83324-030
Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80	Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredients	LiquidOphthalmic	Droptics LLC	85211-002
Leader Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl	Dextran 70 100 mg/100mL + 3 more ingredients	Solution/ dropsOphthalmic	Cardinal Health	70000-0456
pH Neutral Emergency Eyewashwater	Water 95.1 mL/100mL	LiquidOphthalmic	INNOVATIVE SAFETY SUPPLY INC.	72598-095
Systane COMPLETEpropylene glycol	Propylene glycol .06 mg/mL	EmulsionOphthalmic	Alcon Laboratories, Inc.	0065-0481
Rite Aid Multi-Symptom Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfate	Zinc sulfate .25 g/100mL + 2 more ingredients	Solution/ dropsOphthalmic	Rite Aid Corporation	11822-0277
Optase Allegrohydroxyethyl cellulose	Hydroxyethyl cellulose (140 cps at 5%) .35 mg/mL	Solution/ dropsOphthalmic	Scope Health Inc	72972-006
Eye Washwater	Water 991 mg/mL	LiquidTopical	Hubei Changjian Medical Products Co., Ltd.	82996-007
Optaseglycerin	Glycerin 2 mg/mL	Solution/ dropsOphthalmic	Scope Health Inc	72972-007
Quality Choice Lubricant Eye Drops High Performancepolyethylene glycol 400, propylene glycol	Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL	Solution/ dropsOphthalmic	Chain Drug Marketing Assoc., Inc.	83324-029
Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycol	Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL	LiquidOphthalmic	Droptics LLC	85211-001
Clear Eyes Maximum Itchy Eye Reliefglycerin and naphazoline hydrochloride and zinc sulfate	Glycerin 2.5 mg/mL + 2 more ingredients	LiquidOphthalmic	Prestige Brands Holdings, Inc.	67172-999
Discount Drug Mart Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochloride	Dextran 70 .1 g/100mL + 3 more ingredients	Solution/ dropsOphthalmic	Discount Drug Mart, Inc.	53943-422
Plus Rinse Emergency Eyewashpurified water	Water 99.1 mL/100mL	LiquidOphthalmic	INNOVATIVE SAFETY SUPPLY INC.	72598-022
Optaseglycerin	Glycerin .3 mg/mL	Solution/ dropsOphthalmic	Scope Health Inc	72972-008
Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Dropspolyvinyl alcohol	Polyvinyl alcohol, Unspecified 1.4 g/100mL	Solution/ dropsOphthalmic	Rugby Laboratories	0536-1408
Lubricant Eyecarboxymethylcellulose sodium	Carboxymethylcellulose sodium, Unspecified form 5 mg/mL	Solution/ dropsOphthalmic	Rugby Laboratories	0536-1476
WE FRESH Lubricating Eye Dropsglycerin	Glycerin 2.5 mg/mL	Solution/ dropsOphthalmic	Oculus Surgical, Inc.	62144-0011
C-More Lubricant Eye Dropscarboxymethylcellulose sodium, glycerin	Carboxymethylcellulose sodium, Unspecified .3 g/100mL; Glycerin 1 g/100mL	Solution/ dropsOphthalmic	PROFOUND NUTRITION LIMITED	82974-002
ImproVue Lubricanthypromellose 2208 (15000 mpa.s)	Hypromellose 2208 (15000 mpa.s) 17 mg/mL	Solution/ dropsOphthalmic	Oculus Surgical, Inc.	62144-5510

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TheraTears Dry and Tired (Carboxymethylcellulose sodium) NDC 58790-013