NDC codes

FDA NDC Directory
Product NDC (as listed)59390-218Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59390-0218Add 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
59390-218-0559390021805593900218055 mL in 1 BOTTLE, DROPPER (59390-218-05)Marketed from Mar 1, 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)
Altafluor
Generic name (nonproprietary)
fluorescein sodium and benoxinate hydrochloride
Active ingredients
Fluorescein sodium — 2.5 mg/mLBenoxinate hydrochloride — 4 mg/mL
Dosage form
Solution
Route
Ophthalmic
Labeler
Altaire Pharmaceuticals Inc.NDC labeler code 59390
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 208582
Marketing start
Listing expires
Other FDA classes
Dyes (Mechanism)
Identifiers
Product ID 59390-218_22a50c28-e476-4966-b68c-065a4b8e157fSPL ID 22a50c28-e476-4966-b68c-065a4b8e157fSPL set ID 54017304-e680-4129-b52a-69cb9810af76RxCUI 2099132, 2099522UNII 93X55PE38X, 0VE4U49K15
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

N459390021805 followed by a unit qualifier and the quantity

Package 59390-0218-05. 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)

Altafluor Benox (fluorescein sodium and benoxinate hydrochloride ophthalmic solution) 0.25%/0.4% is indicated for ophthalmic procedures requiring a disclosing agent in combination with a topical ophthalmic anesthetic agent. Altafluor Benox (fluorescein sodium and benoxinate hydrochloride ophthalmic solution) 0.25%/0.4% is a combination disclosing agent and local ester anesthetic indicated for procedures requiring a disclosing agent in combination with a topical ophthalmic anesthetic. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 59390-218

What is NDC 59390-218?
59390-218 is the product NDC for Altafluor, Fluorescein sodium 2.5 mg/mL; Benoxinate hydrochloride 4 mg/mL solution, listed with the FDA by Altaire Pharmaceuticals Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Altafluor (Fluorescein Sodium and Benoxinate Hydrochloride).
What is the active ingredient?
Fluorescein sodium, Benoxinate hydrochloride.
Who is the labeler?
Altaire Pharmaceuticals Inc., NDC labeler code 59390. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Altafluor?
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.

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