NDC Package 40171-005-05 Blink Tears

Polyethylene Glycol 400 Solution/ Drops Ophthalmic - View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
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:

40171-005-05

Package Description:

5 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE

Product Code:

40171-005

Proprietary Name:

Blink Tears

Non-Proprietary Name:

Polyethylene Glycol 400

Substance Name:

Polyethylene Glycol 400

Usage Information:

To open, twist and pull tab to remove.Instill 1 or 2 drops in the affected eye(s) as needed or as directed by your eyecare professional.

11-Digit NDC Billing Format:

40171000505

NDC to RxNorm Crosswalk:

RxCUI: 1094102 - blink Tears 0.25 % Ophthalmic Solution

RxCUI: 1094102 - polyethylene glycol 400 2.5 MG/ML Ophthalmic Solution [Blink Tears]

RxCUI: 1094102 - Blink Tears 0.25 % Lubricating Eye Drops

RxCUI: 1094102 - Blink Tears 2.5 MG/ML Ophthalmic Solution

RxCUI: 853238 - polyethylene glycol 400 0.25 % Ophthalmic Solution

Product Type:

Human Otc Drug

Labeler Name:

Bausch & Lomb Incorporated

Dosage Form:

Solution/ Drops - A solution which is usually administered in a drop-wise fashion.

Administration Route(s):

Ophthalmic - Administration to the external eye.

Active Ingredient(s):

POLYETHYLENE GLYCOL 400 2.5 mg/mL

Sample Package:

FDA Application Number:

part349

Marketing Category:

OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.

Start Marketing Date:

03-15-2016

Listing Expiration Date:

12-31-2024

Exclude Flag:

Code Structure:

40171 - Bausch & Lomb Incorporated
- 40171-005 - Blink Tears
  - 40171-005-05 - 5 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE

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.

Other Product Packages

The following packages are also available for this product:

NDC Package Code	Package Description
40171-005-25	25 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE
40171-005-36	180 VIAL, SINGLE-USE in 1 CARTON / .4 mL in 1 VIAL, SINGLE-USE

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 40171-005-05?

The NDC Packaged Code 40171-005-05 is assigned to a package of 5 vial, single-use in 1 carton / .4 ml in 1 vial, single-use of Blink Tears, a human over the counter drug labeled by Bausch & Lomb Incorporated. The product's dosage form is solution/ drops and is administered via ophthalmic form.

Is NDC 40171-005 included in the NDC Directory?

Yes, Blink Tears with product code 40171-005 is active and included in the NDC Directory. The product was first marketed by Bausch & Lomb Incorporated on March 15, 2016 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 40171-005-05?

The 11-digit format is 40171000505. 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	40171-005-05	5-4-2	40171-0005-05

Table of Contents