Premier Value Advanced Eye Drops
NDC Package 11716-0102-3

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.

Premier Value Advanced Eye Drops is directionsput 1 to 2 drops in the affected eye(s) up to 4 times dailychildren under 6 years of age: ask a doctor. Marketed by Hanlim Pharm. Co., Ltd., this product is identified by NDC 11716-0102 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
11716-0102-3
Package Description
1 BOTTLE in 1 CARTON / 15 mL in 1 BOTTLE
Product Code
11716-0102
11-Digit Billing Format
11716010203
RxNorm Crosswalk
  • RxCUI: 996202 - dextran 70 0.1 % / polyethylene glycol 400 1 % / povidone 1 % / tetrahydrozoline HCl 0.05 % Ophthalmic Solution
  • RxCUI: 996202 - dextran 70 1 MG/ML / polyethylene glycol 400 10 MG/ML / povidone 10 MG/ML / tetrahydrozoline hydrochloride 0.5 MG/ML Ophthalmic Solution

Clinical Specifications

Proprietary Name
Premier Value Advanced Eye Drops
Dosage Form
-
Usage Information
Directionsput 1 to 2 drops in the affected eye(s) up to 4 times dailychildren under 6 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Hanlim Pharm. Co., Ltd.
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
08-12-2010
Listing Expiration
12-31-2018
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 11716-0102-3 identifies a specific commercial package of 1 bottle in 1 carton / 15 ml in 1 bottle of Premier Value Advanced Eye Drops, labeled by Hanlim Pharm. Co., Ltd.. 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 Hanlim Pharm. Co., Ltd. on August 12, 2010. The current certification is valid through December 31, 2018.

How is this Hanlim Pharm. Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11716010203. 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 (5-4-1)
11716-0102-3
11-Digit CMS (5-4-2)
11716-0102-03

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