Glostrips Strip
NDC Package 51801-004-40

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

Package Information

Glostrips (rose bengal sodium) strips is rose Bengal ophthalmic strips are used as a diagnostic agent in routine ocular examinations or when superficial conjunctiva or corneal tissue change is suspected. This formulation utilizes a strip delivery system. Marketed by Nomax Inc., this product is identified by NDC 51801-004.

Identification & Billing

NDC Package Code
51801-004-40
Package Description
100 POUCH in 1 CARTON / 1 STRIP in 1 POUCH
Product Code
51801-004
11-Digit Billing Format
51801000440
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
100 EA

Clinical Specifications

Proprietary Name
Glostrips
Non-Proprietary Name
Rose Bengal Sodium
Substance Name
Rose Bengal Sodium
Dosage Form
Strip - A long narrow piece of material.
Administration Route
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
ROSE BENGAL SODIUM 1.3 mg/1
Usage Information
Rose Bengal ophthalmic strips are used as a diagnostic agent in routine ocular examinations or when superficial conjunctiva or corneal tissue change is suspected. Rose Bengal ophthalmic strips can also serve as an effective aid in the diagnosis of keratoconjunctivitis sicca, keratitis, abrasions or corrosions as well as the detection of foreign bodies.

Regulatory & Marketing

Labeler Name
Nomax Inc.
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
08-20-2013
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 51801-004-40 identifies a specific commercial package of 100 pouch in 1 carton / 1 strip in 1 pouch of Glostrips, a human prescription drug labeled by Nomax Inc.. This product is billed for "EA" each discreet unit and contains an estimated amount of 100 billable units per package. This strip is formulated for ophthalmic use and contains rose bengal sodium 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 Nomax Inc. on August 20, 2013. The current certification is valid through December 31, 2026.

How is this Nomax Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51801000440. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 100 total billable units per package. 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)
51801-004-40
11-Digit CMS (5-4-2)
51801-0004-40

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