Walgreens Stye Eye Relief
NDC Package 53799-404-11

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.

Walgreens Stye Eye Relief is for adults and children age2 and over:• remove tamper evident seal from neck of bottle• twist cap off bottle• DON'T squeeze bottle, squeeze plastic tip to release 2 to 3 drops into eye• apply 3-4 times per day• replace cap after use• if desired, use with a warm, moistened washcloth placed directly on eyelid. Marketed by Similasan Ag, this product is identified by NDC 53799-404.

Identification & Billing

NDC Package Code
53799-404-11
Package Description
1 BOTTLE, DROPPER in 1 CARTON / 10 mL in 1 BOTTLE, DROPPER
Product Code
53799-404
11-Digit Billing Format
53799040411

Clinical Specifications

Proprietary Name
Walgreens Stye Eye Relief
Dosage Form
-
Usage Information
For adults and children age2 and over:• remove tamper evident seal from neck of bottle• twist cap off bottle• DON'T squeeze bottle, squeeze plastic tip to release 2 to 3 drops into eye• apply 3-4 times per day• replace cap after use• if desired, use with a warm, moistened washcloth placed directly on eyelid

Regulatory & Marketing

Labeler Name
Similasan Ag
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
06-01-2019
Listing Expiration
12-31-2024
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 53799-404-11 identifies a specific commercial package of 1 bottle, dropper in 1 carton / 10 ml in 1 bottle, dropper of Walgreens Stye Eye Relief, labeled by Similasan Ag. 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 Similasan Ag on June 01, 2019. The current certification is valid through December 31, 2024.

How is this Similasan Ag product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53799040411. 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)
53799-404-11
11-Digit CMS (5-4-2)
53799-0404-11

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