NDC codes

FDA NDC Directory
Product NDC (as listed)87770-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87770-0001Add 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
87770-001-018777000010187770000101.15 g in 1 BOX (87770-001-01)Marketed from Jun 3, 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

Generic name (nonproprietary)
redness reliever lubricant eye drops
Active ingredients
Tetrahydrozoline — 5 mg/100gPolyethylene glycol 400 — 1 g/100g
Dosage form
Solution
Route
Ophthalmic
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 018
Marketing start
Listing expires
Identifiers
Product ID 87770-001_53d4e9b0-c9a1-797a-e063-6294a90ad0cfSPL ID 53d4e9b0-c9a1-797a-e063-6294a90ad0cfSPL set ID 53d4e9b0-c9a0-797a-e063-6294a90ad0cfRxCUI 996209UNII S9U025Y077, 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

N487770000101 followed by a unit qualifier and the quantity

Package 87770-0001-01. 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 • relieves redness caused by minor eye irritation • provides soothing moisture for dry, tired, or irritated eyes • helps protect eyes from dryness caused by screen time, wind, dust, or sunlight • temporarily relieves burning and discomfort associated with dry eyes • lubricates and refreshes eyes for long-lasting comfort

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 87770-001

What is NDC 87770-001?
87770-001 is the product NDC for VitaPhyte Redness Reliever Lubricant Eye Drops, Tetrahydrozoline 5 mg/100g; Polyethylene glycol 400 1 g/100g solution, listed with the FDA by Guangzhou Liyan Cosmetics Technology Co., Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
VitaPhyte Redness Reliever Lubricant Eye Drops (Redness Reliever Lubricant Eye Drops).
What is the active ingredient?
Tetrahydrozoline, Polyethylene glycol 400.
Who is the labeler?
Guangzhou Liyan Cosmetics Technology Co., Ltd., NDC labeler code 87770. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for VitaPhyte Redness Reliever 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
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
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
Meijer Ultra Lubricant Eye Drops High Performancepolyethylene glycol 400, propylene glycolPolyethylene glycol 400 .4 g/100mL; Propylene glycol .3 g/100mLSolution/ dropsOphthalmicMeijer Distribution, Inc.41250-937

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