NDC codes

FDA NDC Directory
Product NDC (as listed)68788-8715Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68788-8715Add 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
68788-8715-5687888715051 BOTTLE, PLASTIC in 1 CARTON (68788-8715-5) / 5 mL in 1 BOTTLE, PLASTICMarketed from Jul 12, 2024

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Ketotifen Fumarate
Generic name (nonproprietary)
ketotifen fumarate
Active ingredients
Ketotifen fumarate.25 mg/mL
Dosage form
Solution
Route
Ophthalmic
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204059
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 68788-8715_45477f1c-fa33-4ecc-b608-67280f68385aSPL ID 45477f1c-fa33-4ecc-b608-67280f68385aSPL set ID 5196ec5b-42d9-40db-a77a-c00360b8cee6RxCUI 311237UNII HBD503WORO
Pharmacologic class
Histamine-1 Receptor Inhibitor

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

N468788871505 followed by a unit qualifier and the quantity

Package 68788-8715-05. 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)

Use Temporarily relieves itchy eyes due to pollen, ragweed, grass, animal hair and dander.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204059

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 204059
ProductStrengthForm · routeLabelerProduct NDC
Ketotifen FumarateKetotifen fumarate .25 mg/mLSolutionOphthalmicUnichem Pharmaceuticals (USA), Inc.76385-106

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