Over-the-counter drug · NDA
Eye Itch Relief (Ketotifen fumarate) NDC 69842-275
Ketotifen fumarate .25 mg/mL · Solution/ drops · Ophthalmic · CVS Pharmacy
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69842-275Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0275Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-275-05 | 6984202750569842027505 | 1 BOTTLE, DROPPER in 1 CARTON (69842-275-05) / 5 mL in 1 BOTTLE, DROPPERMarketed from Apr 1, 2020 | |
| 69842-275-10 | 6984202751069842027510 | 1 BOTTLE, DROPPER in 1 CARTON (69842-275-10) / 10 mL in 1 BOTTLE, DROPPERMarketed from Apr 1, 2020 | |
| 69842-275-20 | 6984202752069842027520 | 2 BOTTLE, DROPPER in 1 CARTON (69842-275-20) / 10 mL in 1 BOTTLE, DROPPERMarketed from Apr 1, 2020 |
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)
- Eye Itch Relief
- Generic name (nonproprietary)
- ketotifen fumarate
- Active ingredients
- Ketotifen fumarate — .25 mg/mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- CVS PharmacyNDC labeler code 69842
- Product type
- Over-the-counter drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 021996
- Marketing start
- Listing expires
- Other FDA classes
- Histamine H1 Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 69842-275_5a5baf1e-141f-0dba-e063-6294a90a5980SPL ID 5a5baf1e-141f-0dba-e063-6294a90a5980SPL set ID 7d0146a9-5073-4e24-954f-75b84affadc2RxCUI 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
N469842027505followed by a unit qualifier and the quantityPackage 69842-0275-05. 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)
Uses For the temporary relief of itchy eyes due to ragweed, pollen, grass, animal hair and dander.
Excerpt only. Read the full label for complete information.
About NDC 69842-275
- What is NDC 69842-275?
- 69842-275 is the product NDC for Eye Itch Relief (ketotifen fumarate), Ketotifen fumarate .25 mg/mL solution/ drops, listed with the FDA by CVS Pharmacy. It has 3 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Eye Itch Relief (Ketotifen Fumarate).
- What is the active ingredient?
- Ketotifen fumarate.
- Who is the labeler?
- CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Eye Itch Relief?
- 10 other product NDCs are listed under this name. See all Eye Itch Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Eye Itch Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-7253 | 50090-7253-00 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | PERRIGO DIRECT INC. | 50804-601 | 50804-0601-05 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | Kroger Company | 30142-398 | 30142-0398-05 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | TOPCO ASSOCIATES LLC | 36800-097 | 36800-0097-05 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Redpharm Drug | 67296-2245 | 67296-2245-05 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Cardinal Health | 70000-0522 | 70000-0522-0170000-0522-02 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .35 mg/mL | Solution/ dropsOphthalmic | CARDINAL HEALTH 110, LLC. DBA LEADER | 70000-0124 | 70000-0124-01 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Safeway | 21130-601 | 21130-0601-05 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Target Corporation | 11673-064 | 11673-0064-05 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .35 mg/mL | SolutionOphthalmic | Walgreen Company | 0363-0038 | 00363-0038-0500363-0038-10 |
Other NDCs under NDA 021996
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 |
|---|---|---|---|---|
| Alawayketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-601 |
| Equate Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Wal-Mart Stores, Inc. | 49035-231 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .35 mg/mL | SolutionOphthalmic | Walgreen Company | 0363-0038 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Target Corporation | 11673-064 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Safeway | 21130-601 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | Kroger Company | 30142-398 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | TOPCO ASSOCIATES LLC | 36800-097 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-7253 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | PERRIGO DIRECT INC. | 50804-601 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Redpharm Drug | 67296-2245 |
| Eye Itch Reliefketotifen fumarate | Ketotifen fumarate .25 mg/mL | SolutionOphthalmic | Cardinal Health | 70000-0522 |
| Ketotifen Fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | Rugby Laboratories | 0536-1252 |
| Ketotifen Fumarate | Ketotifen fumarate .25 mg/mL | Solution/ dropsOphthalmic | A-S Medication Solutions | 50090-6472 |