Walgreens Sterile Lubricant Eye
NDC Package 0363-7274-12

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 Sterile Lubricant Eye is directionsPull down the lower lid of the affected eye and apply a small amount (1/4") of ointment to the inside of the eyelid. Marketed by Walgreen Company, this product is identified by NDC 0363-7274 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
0363-7274-12
Package Description
1 TUBE in 1 CARTON / 3.5 g in 1 TUBE
Product Code
0363-7274
11-Digit Billing Format
00363727412
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
3.5 GM
RxNorm Crosswalk
  • RxCUI: 702008 - mineral oil 42.5 % / petrolatum 57.3 % Ophthalmic Ointment
  • RxCUI: 702008 - mineral oil 0.425 MG/MG / petrolatum 0.573 MG/MG Ophthalmic Ointment
  • RxCUI: 702008 - mineral oil 42.5 % / petrolatum, white 57.3 % Ophthalmic Ointment

Clinical Specifications

Proprietary Name
Walgreens Sterile Lubricant Eye
Dosage Form
-
Usage Information
DirectionsPull down the lower lid of the affected eye and apply a small amount (1/4") of ointment to the inside of the eyelid

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
07-27-2015
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 0363-7274-12 identifies a specific commercial package of 1 tube in 1 carton / 3.5 g in 1 tube of Walgreens Sterile Lubricant Eye, labeled by Walgreen Company. This product is billed per "GM" gram and contains an estimated amount of 3.5 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 July 27, 2015. 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: 00363727412. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 3.5 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)
0363-7274-12
11-Digit CMS (5-4-2)
00363-7274-12

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