What is NDC 69842-804?

69842-804 is the product NDC for CVS Lubricant Eye Drops (carboxymethylcellulose sodium), Carboxymethylcellulose sodium .5 g/100mL solution/ drops, listed with the FDA by CVS Pharmacy, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

CVS Lubricant Eye Drops (Carboxymethylcellulose sodium).

CVS Pharmacy, Inc., 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 CVS Lubricant 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.

CVS Lubricant Eye Drops NDC 69842-804

NDC codes

FDA NDC Directory

Product NDC (as listed)69842-804Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69842-0804Add 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 NDC	11-digit (billing)	Package	Copy
69842-804-01	6984208040169842080401	70 VIAL, SINGLE-USE in 1 BOX (69842-804-01) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Jul 30, 2019

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): CVS Lubricant Eye Drops
Generic name (nonproprietary): carboxymethylcellulose sodium
Active ingredients: Carboxymethylcellulose sodium — .5 g/100mL
Dosage form: Solution/ drops
Route: Ophthalmic
Labeler: CVS Pharmacy, Inc.NDC labeler code 69842
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 018
Marketing start: Jul 30, 2019
Listing expires: Dec 31, 2026
Identifiers: Product ID 69842-804_47491cc4-1a65-464e-e063-6394a90a2770SPL ID 47491cc4-1a65-464e-e063-6394a90a2770SPL set ID 8eef499d-c60e-9468-e053-2995a90a8714RxCUI 1188426UNII K679OBS311UPC 0050428299067

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

N469842080401 followed by a unit qualifier and the quantity

Package 69842-0804-01. 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 Dec 30, 2025.

Indications (excerpt from the label)

Uses for the temporary relief of burning, irritation, and discomfort due to dryness of the eyes or exposure to wind or sun may be used as a protectant against further irritation

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-804

What is NDC 69842-804?: 69842-804 is the product NDC for CVS Lubricant Eye Drops (carboxymethylcellulose sodium), Carboxymethylcellulose sodium .5 g/100mL solution/ drops, listed with the FDA by CVS Pharmacy, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: CVS Lubricant Eye Drops (Carboxymethylcellulose sodium).
What is the active ingredient?: Carboxymethylcellulose sodium.
Who is the labeler?: CVS Pharmacy, Inc., 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 CVS Lubricant 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
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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CVS Lubricant Eye Drops (Carboxymethylcellulose sodium) NDC 69842-804