Multi-action Relief Solution/ Drops
NDC Package 59390-156-13

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

Package Information

Multi-action Relief (polyvinyl alcohol, povidone and tetrahydrozoline hydrochloride) solution/ dropses is instill 1 or 2 drops in the affected eye(s) up to four times daily. This formulation utilizes a solution/ drops delivery system. Marketed by Altaire Pharmaceuticals Inc., this product is identified by NDC 59390-156 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
59390-156-13
Package Description
1 BOTTLE, DROPPER in 1 CARTON / 15 mL in 1 BOTTLE, DROPPER
Product Code
59390-156
11-Digit Billing Format
59390015613
RxNorm Crosswalk
  • RxCUI: 1235569 - polyvinyl alcohol 0.5 % / povidone 0.6 % / tetrahydrozoline HCl 0.05 % Ophthalmic Solution
  • RxCUI: 1235569 - polyvinyl alcohol 0.005 ML/ML / povidone 6 MG/ML / tetrahydrozoline hydrochloride 0.5 MG/ML Ophthalmic Solution
  • RxCUI: 1235569 - polyvinyl alcohol 0.5 % / povidone 0.6 % / tetrahydrozoline hydrochloride 0.05 % Ophthalmic Solution

Clinical Specifications

Proprietary Name
Multi-action Relief
Non-Proprietary Name
Polyvinyl Alcohol, Povidone And Tetrahydrozoline Hydrochloride
Substance Name
Polyvinyl Alcohol, Unspecified; Povidone; Tetrahydrozoline Hydrochloride
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)
Usage Information
Instill 1 or 2 drops in the affected eye(s) up to four times daily.

Regulatory & Marketing

Labeler Name
Altaire Pharmaceuticals Inc.
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-09-2009
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 59390-156-13 identifies a specific commercial package of 1 bottle, dropper in 1 carton / 15 ml in 1 bottle, dropper of Multi-action Relief, a human over the counter drug labeled by Altaire Pharmaceuticals Inc.. This solution/ drops is formulated for ophthalmic use and contains polyvinyl alcohol, unspecified; povidone; tetrahydrozoline hydrochloride 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 Altaire Pharmaceuticals Inc. on May 09, 2009. The current certification is valid through December 31, 2026.

How is this Altaire Pharmaceuticals Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59390015613. 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)
59390-156-13
11-Digit CMS (5-4-2)
59390-0156-13

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