NDC Package 54799-504-01 Tetravisc Forte

View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

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:

54799-504-01

Package Description:

.6 mL in 1 BOTTLE, DROPPER

Product Code:

54799-504

Proprietary Name:

Tetravisc Forte

11-Digit NDC Billing Format:

54799050401

Billing Unit:

EA - Billing unit of "each" is used when the product is dispensed in discreet units.

NDC to RxNorm Crosswalk:

1 EA

Labeler Name:

Ocusoft, Inc.

Sample Package:

Marketing Category:

UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.

Start Marketing Date:

08-25-2009

End Marketing Date:

07-16-2019

Listing Expiration Date:

07-16-2019

Exclude Flag:

Code Structure:

54799 - Ocusoft, Inc.
- 54799-504 - Tetravisc Forte
  - 54799-504-01 - .6 mL in 1 BOTTLE, DROPPER

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
54799-504-05	5 mL in 1 BOTTLE, DROPPER

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 54799-504-01?

The NDC Packaged Code 54799-504-01 is assigned to a package of .6 ml in 1 bottle, dropper of Tetravisc Forte, labeled by Ocusoft, Inc.. The product's dosage form is and is administered via form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.

Is NDC 54799-504 included in the NDC Directory?

No, Tetravisc Forte with product code 54799-504 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Ocusoft, Inc. on August 25, 2009 and its listing in the NDC Directory is set to expire on July 16, 2019 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 54799-504-01?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1.

What is the 11-digit format for NDC 54799-504-01?

The 11-digit format is 54799050401. 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	54799-504-01	5-4-2	54799-0504-01

Table of Contents