NDC codes

FDA NDC Directory
Product NDC (as listed)67091-310Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67091-0310Add 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
67091-310-1567091031015670910310151 BOTTLE, PLASTIC in 1 CARTON (67091-310-15) / 15 mL in 1 BOTTLE, PLASTICMarketed from Sep 26, 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)
Winco Original Formula Eye Drops
Generic name (nonproprietary)
tetrahydrozoline hcl
Active ingredients
Tetrahydrozoline hydrochloride — .05 g/100mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
WinCo Foods, LLCNDC labeler code 67091
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 018
Marketing start
Listing expires
Identifiers
Product ID 67091-310_4748f87a-1ea9-2a15-e063-6394a90a28e0SPL ID 4748f87a-1ea9-2a15-e063-6394a90a28e0SPL set ID 44266952-4054-4c12-b3fc-d0543fe54fe2RxCUI 1052943UNII 0YZT43HS7DUPC 0070552250758

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

N467091031015 followed by a unit qualifier and the quantity

Package 67091-0310-15. 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 relieves redness of the eye due to minor eye irritations

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67091-310

What is NDC 67091-310?
67091-310 is the product NDC for Winco Original Formula Eye Drops (tetrahydrozoline hcl), Tetrahydrozoline hydrochloride .05 g/100mL solution/ drops, listed with the FDA by WinCo Foods, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Winco Original Formula Eye Drops (Tetrahydrozoline HCl).
What is the active ingredient?
Tetrahydrozoline hydrochloride.
Who is the labeler?
WinCo Foods, LLC, NDC labeler code 67091. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Winco Original Formula Eye Drops?
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
Quality Choice Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicChain Drug Marketing Assoc., Inc.83324-030
Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredientsLiquidOphthalmicDroptics LLC85211-002
Leader Advanced Relief Eye Dropsdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hclDextran 70 100 mg/100mL + 3 more ingredientsSolution/ dropsOphthalmicCardinal Health70000-0456
pH Neutral Emergency EyewashwaterWater 95.1 mL/100mLLiquidOphthalmicINNOVATIVE SAFETY SUPPLY INC.72598-095
Systane COMPLETEpropylene glycolPropylene glycol .06 mg/mLEmulsionOphthalmicAlcon Laboratories, Inc.0065-0481
Rite Aid Multi-Symptom Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateZinc sulfate .25 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicRite Aid Corporation11822-0277
Optase Allegrohydroxyethyl celluloseHydroxyethyl cellulose (140 cps at 5%) .35 mg/mLSolution/ dropsOphthalmicScope Health Inc72972-006
Eye WashwaterWater 991 mg/mLLiquidTopicalHubei Changjian Medical Products Co., Ltd.82996-007
OptaseglycerinGlycerin 2 mg/mLSolution/ dropsOphthalmicScope Health Inc72972-007
Quality Choice Lubricant Eye Drops High Performancepolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicChain Drug Marketing Assoc., Inc.83324-029
Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycolNaphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mLLiquidOphthalmicDroptics LLC85211-001
Clear Eyes Maximum Itchy Eye Reliefglycerin and naphazoline hydrochloride and zinc sulfateGlycerin 2.5 mg/mL + 2 more ingredientsLiquidOphthalmicPrestige Brands Holdings, Inc.67172-999
Discount Drug Mart Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicDiscount Drug Mart, Inc.53943-422
Plus Rinse Emergency Eyewashpurified waterWater 99.1 mL/100mLLiquidOphthalmicINNOVATIVE SAFETY SUPPLY INC.72598-022
OptaseglycerinGlycerin .3 mg/mLSolution/ dropsOphthalmicScope Health Inc72972-008
Rugby Polyvinyl Alcohol 1.4% Lubricating Eye Dropspolyvinyl alcoholPolyvinyl alcohol, Unspecified 1.4 g/100mLSolution/ dropsOphthalmicRugby Laboratories0536-1408
Lubricant Eyecarboxymethylcellulose sodiumCarboxymethylcellulose sodium, Unspecified form 5 mg/mLSolution/ dropsOphthalmicRugby Laboratories0536-1476
WE FRESH Lubricating Eye DropsglycerinGlycerin 2.5 mg/mLSolution/ dropsOphthalmicOculus Surgical, Inc.62144-0011
C-More Lubricant Eye Dropscarboxymethylcellulose sodium, glycerinCarboxymethylcellulose sodium, Unspecified .3 g/100mL; Glycerin 1 g/100mLSolution/ dropsOphthalmicPROFOUND NUTRITION LIMITED82974-002
ImproVue Lubricanthypromellose 2208 (15000 mpa.s)Hypromellose 2208 (15000 mpa.s) 17 mg/mLSolution/ dropsOphthalmicOculus Surgical, Inc.62144-5510

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