Walgreen Sterile Lubricant Drops 30 Count
NDC Package 0363-4816-30

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Walgreen Sterile Lubricant Drops 30 Count is directionsTo open, TWIST AND PULL TAB TO REMOVE. Marketed by Walgreen Company, this product is identified by NDC 0363-4816 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
0363-4816-30
Package Description
30 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE
Product Code
0363-4816
11-Digit Billing Format
00363481630
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk
  • RxCUI: 1188426 - carboxymethylcellulose sodium 0.5 % Ophthalmic Solution
  • RxCUI: 1188426 - carboxymethylcellulose sodium 5 MG/ML Ophthalmic Solution
  • RxCUI: 1188426 - carboxymethylcellulose sodium 0.5 GM per 100 ML Ophthalmic Solution

Clinical Specifications

Proprietary Name
Walgreen Sterile Lubricant Drops 30 Count
Dosage Form
-
Usage Information
DirectionsTo open, TWIST AND PULL TAB TO REMOVE. Instill 1 or 2 drops in the affected eye(s) as needed and discard containerif used for post-operative (e.g. LASIK) dryness and discomfort, follow your eye doctor's instructions

Regulatory & Marketing

Labeler Name
Walgreen Company
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
03-25-2014
Listing Expiration
12-31-2024
Exclude Flag
I
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 0363-4816-30 identifies a specific commercial package of 30 vial, single-use in 1 carton / .4 ml in 1 vial, single-use of Walgreen Sterile Lubricant Drops 30 Count, labeled by Walgreen Company. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Walgreen Company on March 25, 2014. The current certification is valid through December 31, 2024.

How is this Walgreen Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363481630. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 total billable units per package. 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)
0363-4816-30
11-Digit CMS (5-4-2)
00363-4816-30

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