Artificial Tears Solution/ Drops
NDC Package 11822-0011-3

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

Package Information

Artificial Tears (lubricant eye drops) solution/ dropses is a medication used to relieve dry, irritated eyes. This formulation utilizes a solution/ drops delivery system. Marketed by Rite Aid Corporation, this product is identified by NDC 11822-0011 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
11822-0011-3
Package Description
1 BOTTLE in 1 CARTON / 30 mL in 1 BOTTLE
Product Code
11822-0011
11-Digit Billing Format
11822001103
RxNorm Crosswalk
  • RxCUI: 259195 - glycerin 0.3 % / propylene glycol 1 % Ophthalmic Solution
  • RxCUI: 259195 - glycerin 3 MG/ML / propylene glycol 10 MG/ML Ophthalmic Solution

Clinical Specifications

Proprietary Name
Artificial Tears
Non-Proprietary Name
Lubricant Eye Drops
Substance Name
Glycerin; Propylene Glycol
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)
Pharmacologic Class
Usage Information
This medication is used to relieve dry, irritated eyes. Common causes for dry eyes include wind, sun, heating/air conditioning, computer use/reading, and certain medications. This product may contain 1 or more of the following ingredients: carboxymethylcellulose, dextran, glycerin, hypromellose, polyethylene glycol 400 (PEG 400), polysorbate, polyvinyl alcohol, povidone, or propylene glycol, among others. Eye lubricants keep the eye moist, help to protect the eye from injury and infection, and decrease symptoms of dry eyes such as burning, itching, and feeling as if something is in the eye.

Regulatory & Marketing

Labeler Name
Rite Aid Corporation
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-2017
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11822-0011). Click a package code to view its specific billing and regulatory data.

11822-0011-5
1 BOTTLE in 1 CARTON / 15 mL in 1 BOTTLE

* 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 11822-0011-3 identifies a specific commercial package of 1 bottle in 1 carton / 30 ml in 1 bottle of Artificial Tears, a human over the counter drug labeled by Rite Aid Corporation. This solution/ drops is formulated for ophthalmic use and contains glycerin; propylene glycol 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 Rite Aid Corporation on January 01, 2017. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is used to relieve dry, irritated eyes. Common causes for dry eyes include wind, sun, heating/air conditioning, computer use/reading, and certain medications. This product may contain 1 or more of the following ingredients: carboxymethylcellulose, dextran, glycerin, hypromellose, polyethylene glycol 400 (PEG 400), polysorbate, polyvinyl alcohol, povidone, or propylene glycol, among others. Eye lubricants keep the eye moist, help to protect the eye from injury and infection, and decrease symptoms of dry eyes such as burning, itching, and feeling as if something is in the eye.

How is this Rite Aid Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822001103. 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)
11822-0011-3
11-Digit CMS (5-4-2)
11822-0011-03

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