Glitch Advanced Relief Eye Drops Solution/ Drops
NDC Package 0276-0801-15

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Glitch Advanced Relief Eye Drops (polyethylene glycol 400, tetrahydrozoline hcl) solution/ dropses is instill 1 to 2 drops in the affected eye(s) up to 4 times daily. This formulation utilizes a solution/ drops delivery system. Marketed by Misemer Pharmaceutical, Inc, this product is identified by NDC 0276-0801 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
0276-0801-15
Package Description
1 BOTTLE, DROPPER in 1 BOX / 15 mL in 1 BOTTLE, DROPPER
Product Code
0276-0801
11-Digit Billing Format
00276080115
RxNorm Crosswalk
  • RxCUI: 996209 - polyethylene glycol 400 1 % / tetrahydrozoline HCl 0.05 % Ophthalmic Solution
  • RxCUI: 996209 - polyethylene glycol 400 10 MG/ML / tetrahydrozoline hydrochloride 0.5 MG/ML Ophthalmic Solution
  • RxCUI: 996209 - PEG 400 1 % / tetrahydrozoline hydrochloride 0.05 % Ophthalmic Solution

Clinical Specifications

Proprietary Name
Glitch Advanced Relief Eye Drops
Non-Proprietary Name
Polyethylene Glycol 400, Tetrahydrozoline Hcl
Substance Name
Polyethylene Glycol 400; Tetrahydrozoline Hydrochloride
Dosage Form
Solution/ Drops - A solution which is usually administered in a drop-wise fashion.
Administration Route
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
Usage Information
Instill 1 to 2 drops in the affected eye(s) up to 4 times daily

Regulatory & Marketing

Labeler Name
Misemer Pharmaceutical, Inc
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-21-2023
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0276-0801-15 identifies a specific commercial package of 1 bottle, dropper in 1 box / 15 ml in 1 bottle, dropper of Glitch Advanced Relief Eye Drops, a human over the counter drug labeled by Misemer Pharmaceutical, Inc. This solution/ drops is formulated for ophthalmic use and contains polyethylene glycol 400; tetrahydrozoline hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Misemer Pharmaceutical, Inc on August 21, 2023. The current certification is valid through December 31, 2026.

How is this Misemer Pharmaceutical, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00276080115. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0276-0801-15
11-Digit CMS (5-4-2)
00276-0801-15

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.