Over-the-counter drug · OTC MONOGRAPH DRUG
Visine Dry Eye Relief (polyethylene glycol 400) NDC 69968-0365
Polyethylene glycol 400 10 mg/mL · Solution/ drops · Ophthalmic · Kenvue Brands LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69968-0365-1 | 69968036501 | 1 BOTTLE, DROPPER in 1 CARTON (69968-0365-1) / 15 mL in 1 BOTTLE, DROPPERMarketed from Apr 27, 2020 |
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)
- Visine Dry Eye Relief
- Generic name (nonproprietary)
- polyethylene glycol 400
- Active ingredients
- Polyethylene glycol 400 — 10 mg/mL
- Dosage form
- Solution/ drops
- Route
- Ophthalmic
- Labeler
- Kenvue Brands LLC
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 018
- Marketing start
- Listing expires
- Identifiers
- Product ID 69968-0365_21d8ac4e-d857-23dd-e063-6394a90a3593SPL ID 21d8ac4e-d857-23dd-e063-6394a90a3593SPL set ID a4c57620-778f-4434-9105-ead2f85c5884RxCUI 2360899UNII B697894SGQ
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
N469968036501followed by a unit qualifier and the quantityPackage 69968-0365-01. 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 .
Indications (excerpt from the label)
Uses for the temporary relief of burning, irritation, and discomfort due to dryness of the eye or exposure to wind or sun for protection against further irritation
Excerpt only. Read the full label for complete information.
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 |
|---|---|---|---|---|
| Rite Aid Hydration Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Rite Aid Corporation | 11822-0203 |
| Sootheglycerin and propylene glycol | Glycerin 6 mg/mL; Propylene glycol 6 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-495 |
| Family Wellness Original Redness Relief Eye Dropstetrahydrozoline hcl | Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Family Dollar Services, Inc. | 55319-907 |
| Altachlore Sodium Chloride Hypertonicitysodium chloride | Sodium chloride 50 mg/mL | Solution/ dropsOphthalmic | Altaire Pharmaceuticals Inc. | 59390-183 |
| Vista Gonio Eye Lubricanthypromellose ophthalmic solution | Hypromellose 2208 (100 mpa.s) 25 mg/15mL | SolutionOphthalmic | Red Wedding LLC | 77790-022 |
| Archies Dry Eye Reliefpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | Solution/ dropsOphthalmic | Archie's Remedies | 83737-001 |
| Revitalize Energizing Eye Dropsnaphazoline hydrochloride ,propylene glycol | Naphazoline hydrochloride .03 g/100mL; Propylene glycol 1 g/100mL | LiquidOphthalmic | Revitalize Energy Inc. | 82864-001 |
| Soothe XPlight mineral oil and mineral oil | Light mineral oil 10 mg/mL; Mineral oil 45 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-490 |
| Xpect Eyewasheyewash | Water .984 mL/mL | SolutionOphthalmic | Cintas Corporation | 42961-231 |
| Family Wellness Advanced Redness Relief Eye Dropspolyethylene glycol 400, tetrahydrozoline hcl | Polyethylene glycol 400 1 g/100mL; Tetrahydrozoline hydrochloride .05 g/100mL | Solution/ dropsOphthalmic | Family Dollar Services, Inc. | 55319-906 |
| Eye Love Heyedrate Long Lasting Hydrationglycerin, povidone | Povidone .25 g/100mL; Glycerin .63 g/100mL | Solution/ dropsOphthalmic | Physician Recommended Neutraceuticals, L.P. | 83201-002 |
| SilkTearsglycerin ophthalmic solution | Glycerin 2 mg/1000mL | Solution/ dropsOphthalmic | SilkTears | 85837-0001 |
| Vis Guard Lubricant EyeOintment PMmineral oil, white petrolatum ointment | Petrolatum 830 mg/g; Light mineral oil 150 mg/g | OintmentOphthalmic | Ulai Health LLC | 73057-510 |
| Advanced Eye Relief Eye Washwater solution | Water 99.05 mL/100mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-005 |
| Exchange Select High Performance Lubricant Eye Dropspolyethylene glycol 400, propylene glycol | Propylene glycol .3 g/100mL; Polyethylene glycol 400 .4 g/100mL | Solution/ dropsOphthalmic | Army and Air Force Exchange Service | 55301-347 |
| Sodium Chloride Normal Saltsodium chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals | 58657-118 |
| Ancient Secrets Breathe Againsodium chloride | Sodium chloride 20 mg/100mL | Aerosol, SprayNasal | LOTUS BRANDS, INC. | 76328-100 |
| Biotrue Hydration Boostglycerin | Glycerin 5 mg/mL | Solution/ dropsOphthalmic | Bausch & Lomb Incorporated | 24208-006 |
| Sodium Chloride | Sodium chloride 1 g/1 | TabletOral | Method Pharmaceuticals, LLC | 58657-119 |
| CVS Lubricant Eye Drops Originalpolyethylene glycol 400, propylene glycol | Polyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mL | SolutionOphthalmic | CVS | 69842-746 |
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