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  5. NDC Package Code: 58790-003-30 Theratears

NDC Package 58790-003-30 Theratears

Carboxymethylcellulose Sodium Gel Ophthalmic - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. 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:
58790-003-30
Package Description:
6 POUCH in 1 CARTON / 5 VIAL in 1 POUCH / .6 mL in 1 VIAL
Product Code:
58790-003
Proprietary Name:
Theratears
Non-Proprietary Name:
Carboxymethylcellulose Sodium
Substance Name:
Carboxymethylcellulose Sodium, Unspecified Form
Usage Information:
This medication is used to relieve dry, irritated eyes. Common causes for dry eyes include wind, sun, heating/air conditioning, computer use/reading, and certain medications. This product may contain 1 or more of the following ingredients: carboxymethylcellulose, dextran, glycerin, hypromellose, polyethylene glycol 400 (PEG 400), polysorbate, polyvinyl alcohol, povidone, or propylene glycol, among others. Eye lubricants keep the eye moist, help to protect the eye from injury and infection, and decrease symptoms of dry eyes such as burning, itching, and feeling as if something is in the eye.
11-Digit NDC Billing Format:
58790000330
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
1 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 579907 - carboxymethylcellulose sodium 1 % Ophthalmic Gel
  • RxCUI: 579907 - carboxymethylcellulose sodium 0.01 MG/MG Ophthalmic Gel
  • RxCUI: 998666 - TheraTears 1 % Ophthalmic Gel
  • RxCUI: 998666 - carboxymethylcellulose sodium 0.01 MG/MG Ophthalmic Gel [TheraTears]
  • RxCUI: 998666 - Thera Tears 1 % Ophthalmic Gel
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Medtech Products Inc
    Dosage Form:
    Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
    Administration Route(s):
  • Ophthalmic - Administration to the external eye.
    • Active Ingredient(s):
  • CARBOXYMETHYLCELLULOSE SODIUM, UNSPECIFIED FORM 10 mg/mL
    • Sample Package:
    No
    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:
    12-07-2018
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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.

    Frequently Asked Questions

    What is NDC 58790-003-30?

    The NDC Packaged Code 58790-003-30 is assigned to a package of 6 pouch in 1 carton / 5 vial in 1 pouch / .6 ml in 1 vial of Theratears, a human over the counter drug labeled by Medtech Products Inc. The product's dosage form is gel and is administered via ophthalmic form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.

    Is NDC 58790-003 included in the NDC Directory?

    Yes, Theratears with product code 58790-003 is active and included in the NDC Directory. The product was first marketed by Medtech Products Inc on December 07, 2018 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 NDC billing unit for package 58790-003-30?

    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 58790-003-30?

    The 11-digit format is 58790000330. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-258790-003-305-4-258790-0003-30