NDC Package 0023-4515-30 Refresh Relieva Pf

Carboxymethylcellulose Sodium And Glycerin Solution/ Drops Ophthalmic - View Billable Units, 11-Digit Format, RxNorm

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0023-4515-30
Package Description:
30 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE
Product Code:
Proprietary Name:
Refresh Relieva Pf
Non-Proprietary Name:
Carboxymethylcellulose Sodium And Glycerin
Substance Name:
Carboxymethylcellulose Sodium; Glycerin
Usage Information:
To open, TWIST AND PULL TAB TO REMOVE.Instill 1 or 2 drops in the affected eye(s) as needed and discard container*If used for dryness and discomfort associated with LASIK, follow your eye doctor’s instructions.
11-Digit NDC Billing Format:
00023451530
Product Type:
Human Otc Drug
Labeler Name:
Allergan, Inc.
Dosage Form:
Solution/ Drops - A solution which is usually administered in a drop-wise fashion.
Administration Route(s):
  • Ophthalmic - Administration to the external eye.
  • Sample Package:
    No
    FDA Application Number:
    M018
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    09-25-2020
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0023-4515-30?

    The NDC Packaged Code 0023-4515-30 is assigned to a package of 30 vial, single-use in 1 carton / .4 ml in 1 vial, single-use of Refresh Relieva Pf, a human over the counter drug labeled by Allergan, Inc.. The product's dosage form is solution/ drops and is administered via ophthalmic form.

    Is NDC 0023-4515 included in the NDC Directory?

    Yes, Refresh Relieva Pf with product code 0023-4515 is active and included in the NDC Directory. The product was first marketed by Allergan, Inc. on September 25, 2020 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 0023-4515-30?

    The 11-digit format is 00023451530. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20023-4515-305-4-200023-4515-30