Signature Care Lubricant Eye Drops Long Lasting Solution
NDC Package 21130-756-01

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

Package Information

Signature Care Lubricant Eye Drops Long Lasting (polyethylene glycol 400, propylene glycol) solution is instill 1 or 2 drops in the affected eye(s) as needed.Children under 6 years of age: ask a doctor. This formulation utilizes a solution delivery system. Marketed by Better Living Brands, Llc, this product is identified by NDC 21130-756 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
21130-756-01
Package Description
1 BOTTLE, DROPPER in 1 BOX / 15 mL in 1 BOTTLE, DROPPER
Product Code
21130-756
11-Digit Billing Format
21130075601
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
Signature Care Lubricant Eye Drops Long Lasting
Non-Proprietary Name
Polyethylene Glycol 400, Propylene Glycol
Substance Name
Polyethylene Glycol 400; Propylene Glycol
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
Usage Information
Instill 1 or 2 drops in the affected eye(s) as needed.Children under 6 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Better Living Brands, Llc
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-02-2018
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 21130-756-01 identifies a specific commercial package of 1 bottle, dropper in 1 box / 15 ml in 1 bottle, dropper of Signature Care Lubricant Eye Drops Long Lasting, a human over the counter drug labeled by Better Living Brands, Llc. This solution is formulated for ophthalmic use and contains polyethylene glycol 400; 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 Better Living Brands, Llc on April 02, 2018. The current certification is valid through December 31, 2026.

How is this Better Living Brands, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130075601. 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 (5-3-2)
21130-756-01
11-Digit CMS (5-4-2)
21130-0756-01

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