Walgreens Lubricant Eye Drops
NDC Package 0363-7220-25

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.

Walgreens Lubricant Eye Drops is directionsInstill 1 or 2 drops in the affected eye(s) as needed. Marketed by Walgreen Company, this product is identified by NDC 0363-7220 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
0363-7220-25
Package Description
1 VIAL, SINGLE-USE in 1 CARTON / 25 mg in 1 VIAL, SINGLE-USE
Product Code
0363-7220
11-Digit Billing Format
00363722025
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: 477589 - polyethylene glycol 400, 0.4 % / propylene glycol 0.3 % Ophthalmic Solution
  • RxCUI: 477589 - polyethylene glycol 400 4 MG/ML / propylene glycol 3 MG/ML Ophthalmic Solution
  • RxCUI: 477589 - PEG 400 0.4 % / propylene glycol 0.3 % Ophthalmic Solution

Clinical Specifications

Proprietary Name
Walgreens Lubricant Eye Drops
Dosage Form
-
Usage Information
DirectionsInstill 1 or 2 drops in the affected eye(s) as needed.

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
08-06-2014
Listing Expiration
12-31-2019
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 0363-7220-25 identifies a specific commercial package of 1 vial, single-use in 1 carton / 25 mg in 1 vial, single-use of Walgreens Lubricant Eye Drops, 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 August 06, 2014. The current certification is valid through December 31, 2019.

How is this Walgreen Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363722025. 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)
0363-7220-25
11-Digit CMS (5-4-2)
00363-7220-25

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