Over-the-counter drug · OTC MONOGRAPH DRUG
Winco Original Formula Eye Drops (Tetrahydrozoline hcl) NDC 67091-310
Tetrahydrozoline hydrochloride .05 g/100mL · Solution/ drops · Ophthalmic · WinCo Foods, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 67091-310-15 | 6709103101567091031015 | 1 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
N467091031015followed by a unit qualifier and the quantityPackage 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.
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.
| 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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