Goodsense Artifical Tears
NDC Package 50804-017-05

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.

Goodsense Artifical Tears is directionsInstill 1 or 2 drops in the affected eye(s) as needed.store at room temperatureremove contact lenses before using. Marketed by Geiss, Destin And Dunn, Inc., this product is identified by NDC 50804-017 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
50804-017-05
Package Description
1 BOTTLE, DROPPER in 1 PACKAGE / 15 mL in 1 BOTTLE, DROPPER
Product Code
50804-017
11-Digit Billing Format
50804001705
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

Clinical Specifications

Proprietary Name
Goodsense Artifical Tears
Dosage Form
-
Usage Information
DirectionsInstill 1 or 2 drops in the affected eye(s) as needed.store at room temperatureremove contact lenses before using

Regulatory & Marketing

Labeler Name
Geiss, Destin And Dunn, Inc.
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
04-04-2016
Listing Expiration
12-31-2019
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 50804-017-05 identifies a specific commercial package of 1 bottle, dropper in 1 package / 15 ml in 1 bottle, dropper of Goodsense Artifical Tears, labeled by Geiss, Destin And Dunn, Inc.. 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 Geiss, Destin And Dunn, Inc. on April 04, 2016. The current certification is valid through December 31, 2019.

How is this Geiss, Destin And Dunn, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 50804001705. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
50804-017-05
11-Digit CMS (5-4-2)
50804-0017-05

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