NDC Package 25357-025-03 Photrexa Cross-linking Kit

Riboflavin 5-phosphate Ophthalmic Kit - View Billable Units, 11-Digit Format, RxNorm

Package Information
Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

25357-025-03

Package Description:

2 POUCH in 1 BOX / 1 POUCH in 1 POUCH / 1 SYRINGE, GLASS in 1 POUCH / 1 KIT in 1 SYRINGE, GLASS

Product Code:

25357-025

Proprietary Name:

Photrexa Cross-linking Kit

Non-Proprietary Name:

Riboflavin 5-phosphate Ophthalmic

Usage Information:

PHOTREXA® VISCOUS and PHOTREXA® are indicated for use in corneal collagen cross-linking in combination with the KXL™ System for the treatment of

11-Digit NDC Billing Format:

25357002503

Billing Unit:

ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

NDC to RxNorm Crosswalk:

RxCUI: 1925825 - riboflavin 5'-phosphate 0.146 % Ophthalmic Solution
RxCUI: 1925825 - riboflavin 5'-phosphate 1.46 MG/ML Ophthalmic Solution
RxCUI: 1925830 - Photrexa 0.146 % Ophthalmic Solution
RxCUI: 1925830 - riboflavin 5'-phosphate 1.46 MG/ML Ophthalmic Solution [Photrexa]
RxCUI: 1925830 - Photrexa 1.46 MG/ML Ophthalmic Solution

Product Type:

Human Prescription Drug

Labeler Name:

Glaukos Corporation

Dosage Form:

Kit - A packaged collection of related material.

Sample Package:

FDA Application Number:

NDA203324

Marketing Category:

NDA - A product marketed under an approved New Drug Application.

Start Marketing Date:

09-25-2017

Listing Expiration Date:

12-31-2026

Exclude Flag:

Code Structure:

25357 - Glaukos Corporation
- 25357-025 - Photrexa Cross-linking Kit
  - 25357-025-03 - 2 POUCH in 1 BOX / 1 POUCH in 1 POUCH / 1 SYRINGE, GLASS in 1 POUCH / 1 KIT in 1 SYRINGE, GLASS

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 disclaimer below.

Frequently Asked Questions

What is NDC 25357-025-03?

The NDC Packaged Code 25357-025-03 is assigned to a package of 2 pouch in 1 box / 1 pouch in 1 pouch / 1 syringe, glass in 1 pouch / 1 kit in 1 syringe, glass of Photrexa Cross-linking Kit, a human prescription drug labeled by Glaukos Corporation. The product's dosage form is kit and is administered via form.

Is NDC 25357-025 included in the NDC Directory?

Yes, Photrexa Cross-linking Kit with product code 25357-025 is active and included in the NDC Directory. The product was first marketed by Glaukos Corporation on September 25, 2017 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 25357-025-03?

The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

What is the 11-digit format for NDC 25357-025-03?

The 11-digit format is 25357002503. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	25357-025-03	5-4-2	25357-0025-03

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