Over-the-counter drug · OTC MONOGRAPH DRUG

Artificial Tears Lubricant Eye Drops (Glycerin, propylene glycol) NDC 69842-454

Glycerin 3 mg/mL; Propylene glycol 10 mg/mL · Solution/ drops · Ophthalmic · CVS Pharmacy

NDC codes

FDA NDC Directory
Product NDC (as listed)69842-454Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0454Add 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
69842-454-1569842045415698420454151 BOTTLE in 1 CARTON (69842-454-15) / 15 mL in 1 BOTTLEMarketed from Apr 9, 2026
69842-454-3069842045430698420454301 BOTTLE in 1 CARTON (69842-454-30) / 30 mL in 1 BOTTLEMarketed from Sep 1, 2010
69842-454-4569842045445698420454452 BOTTLE in 1 CARTON (69842-454-45) / 15 mL in 1 BOTTLEMarketed from Apr 9, 2026

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)
Artificial Tears Lubricant Eye Drops
Generic name (nonproprietary)
glycerin, propylene glycol
Active ingredients
Glycerin — 3 mg/mLPropylene glycol — 10 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 018
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Glycerol (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 69842-454_4f5f11ed-66ec-7b64-e063-6294a90affb3SPL ID 4f5f11ed-66ec-7b64-e063-6294a90affb3SPL set ID 28297fee-8185-4869-8f39-5bfbf8bf8bfdRxCUI 259195UNII PDC6A3C0OX, 6DC9Q167V3
Pharmacologic class
Non-Standardized Chemical Allergen

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

N469842045415 followed by a unit qualifier and the quantity

Package 69842-0454-15. 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 temporary relief of burning and irritation due to dryness of the eye prevents further irritation

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-454

What is NDC 69842-454?
69842-454 is the product NDC for Artificial Tears Lubricant Eye Drops, Glycerin 3 mg/mL; Propylene glycol 10 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?
Artificial Tears Lubricant Eye Drops (Glycerin, propylene glycol).
What is the active ingredient?
Glycerin, Propylene glycol.
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 Artificial Tears Lubricant Eye Drops?
1 other product NDC are listed under this name. See all Artificial Tears Lubricant Eye Drops NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Artificial Tears Lubricant Eye Drops NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Artificial Tears Lubricant Eye Dropsglycerin, hypromellose, polyethylene glycol 400Glycerin .2 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicKC Pharmaceuticals, Inc55651-11555651-0115-01

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
Eyewash Additive Concentratewater and propylene glycolWater 2374.4 L/2800L; Propylene glycol 280 kg/2800LLiquidOphthalmicHaws Corporation66051-236
Signature Care Lubricant Eye Drops Long Lastingpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolutionOphthalmicBetter Living Brands, LLC21130-756
Polyvinyl AlcoholPolyvinyl alcohol 14 mg/mLSolution/ dropsOphthalmicA-S Medication Solutions50090-7119
Sunmark Eye Drops Advanced Moisturizer/Lubricantdextran, polyethylene glycol 400, povidone, tetrahydrozolineDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicStrategic Sourcing Services LLC49348-697
Sodium ChlorideSodium chloride 1000 mg/1TabletOralRising Pharma Holdings, Inc.57237-361
VitaPhyte Redness Reliever Lubricant Eye Dropsredness reliever lubricant eye dropsTetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100gSolutionOphthalmicGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-001
Signature Care Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium .5 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-705
Droptics Performance Eye Dropsnaphazoline hydrochloride, propylene glycolNaphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mLLiquidOphthalmicDroptics LLC85211-001
Signature Care Eye Drops High Performancepolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-702
Droptics Dry Eye Reliefcarboxymethylcellulose sodium,glycerin,polysorbate 80Carboxymethylcellulose sodium .5 g/100mL + 2 more ingredientsLiquidOphthalmicDroptics LLC85211-002
Gentle Eyes Lubricant Eye Dropscarboxymethylcellulose sodiumCarboxymethylcellulose sodium 5 mg/mLSolution/ dropsOphthalmicTRP Company17312-430
Signature Care Eye Drops Redness and Dry Eye Reliefglycerin, naphazoline hydrochlorideGlycerin .25 g/100mL; Naphazoline hydrochloride .012 g/100mLSolution/ dropsOphthalmicBetter Living Brands LLC21130-703
Signature Care Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hclDextran 70 100 mg/100mL + 3 more ingredientsSolution/ dropsOphthalmicBetter Living Brands LLC21130-704
REFRESH Optive Mega-3carboxymethylcellulose sodium, glycerin and polysorbate 80Carboxymethylcellulose sodium 5 mg/mL + 2 more ingredientsSolution/ dropsOphthalmicAllergan, Inc.0023-4230
Sodium ChlorideSodium chloride 1 g/1TabletOralMethod Pharmaceuticals, LLC58657-119
CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolutionOphthalmicCVS69842-746
Sodium Chloride Normal Saltsodium chlorideSodium chloride 1 g/1TabletOralMethod Pharmaceuticals58657-118
Best Choice Eye Drops Advanced Reliefdextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hydrochlorideDextran 70 .1 g/100mL + 3 more ingredientsSolution/ dropsOphthalmicValu Merchandisers, Co.63941-942
Meijer Multi-Symptom Reliefpolyethylene glycol 400, tetrahydrozoline hcl, zinc sulfateTetrahydrozoline hydrochloride .05 g/100mL + 2 more ingredientsSolution/ dropsOphthalmicMeijer, Inc.79481-0250
iVIZIA Dry EyepovidonePovidone 25 mg/5mLSolution/ dropsOphthalmicThea Pharma Inc.82584-700

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