Theratears Dry And Tired Solution/ Drops
NDC Package 58790-013-30

11-digit billing NDC: 58790001330
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Theratears Dry And Tired (carboxymethylcellulose sodium) solution/ dropses is to open, twist tab completely off.Instill 1 or 2 drops into affected eye(s) as needed and discard container. This formulation utilizes a solution/ drops delivery system. Marketed by Medtech Products Inc, this product is identified by NDC 58790-013 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
58790-013-30
Package Description
6 POUCH in 1 CARTON / 5 VIAL, SINGLE-USE in 1 POUCH / .4 mL in 1 VIAL, SINGLE-USE
Product Code
58790-013
11-Digit Billing Format
58790001330
RxNorm Crosswalk
  • RxCUI: 1188426 - carboxymethylcellulose sodium 0.5 % Ophthalmic Solution
  • RxCUI: 1188426 - carboxymethylcellulose sodium 5 MG/ML Ophthalmic Solution
  • RxCUI: 1188426 - carboxymethylcellulose sodium 0.5 GM per 100 ML Ophthalmic Solution
  • RxCUI: 2733992 - Thera Tears 0.5 % Ophthalmic Solution
  • RxCUI: 2733992 - carboxymethylcellulose sodium 5 MG/ML Ophthalmic Solution [TheraTears]

Clinical Specifications

Proprietary Name
Theratears Dry And Tired
Non-Proprietary Name
Carboxymethylcellulose Sodium
Substance Name
Carboxymethylcellulose Sodium
Dosage Form
Solution/ Drops - A solution which is usually administered in a drop-wise fashion.
Administration Route
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
CARBOXYMETHYLCELLULOSE SODIUM 5 mg/mL
Usage Information
To open, twist tab completely off.Instill 1 or 2 drops into affected eye(s) as needed and discard container.

Regulatory & Marketing

Labeler Name
Medtech Products Inc
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-30-2026
Listing Expiration
12-31-2027
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 58790-013-30 identifies a specific commercial package of 6 pouch in 1 carton / 5 vial, single-use in 1 pouch / .4 ml in 1 vial, single-use of Theratears Dry And Tired, a human over the counter drug labeled by Medtech Products Inc. This solution/ drops is formulated for ophthalmic use and contains carboxymethylcellulose 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 Medtech Products Inc on January 30, 2026. The current certification is valid through December 31, 2027.

How is this Medtech Products Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58790001330. 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)
58790-013-30
11-Digit CMS (5-4-2)
58790-0013-30

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