NDC codes

FDA NDC Directory
Product NDC (as listed)83661-018Labeler and product segments. Claims need a package NDC.
Product NDC at billing width83661-0018Add 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
83661-018-108366100181010 VIAL, SINGLE-USE in 1 BOX (83661-018-10) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Jan 15, 2025
83661-018-208366100182020 VIAL, SINGLE-USE in 1 BOX (83661-018-20) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Jan 15, 2025
83661-018-308366100183030 VIAL, SINGLE-USE in 1 BOX (83661-018-30) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Oct 15, 2024
83661-018-608366100186060 VIAL, SINGLE-USE in 1 BOX (83661-018-60) / .4 mL in 1 VIAL, SINGLE-USEMarketed from Jan 15, 2025

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)
Qlosi
Generic name (nonproprietary)
pilocarpine hydrochloride
Active ingredients
Pilocarpine hydrochloride — 4 mg/mL
Dosage form
Solution
Route
Ophthalmic
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 217836
Marketing start
Listing expires
Other FDA classes
Cholinergic Agonists (Mechanism)Cholinergic Muscarinic Agonists (Mechanism)
Identifiers
Product ID 83661-018_35bee113-ab9f-605d-e063-6394a90ac5a2SPL ID 35bee113-ab9f-605d-e063-6394a90ac5a2SPL set ID 4ee2a840-1203-473a-aa42-316a3ddf2fbeRxCUI 2695439, 2695445UNII 0WW6D218XJUPC 0383661018301
Pharmacologic class
Cholinergic Receptor Agonist

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

N483661001810 followed by a unit qualifier and the quantity

Package 83661-0018-10. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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