Goniotaire Solution
NDC Package 59390-182-13

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

Package Information

Goniotaire (hypromellose 2906 (4000 mpa.s)) solution is for professional use in gonioscopic examinations. This formulation utilizes a solution delivery system. Marketed by Altaire Pharmaceuticals Inc., this product is identified by NDC 59390-182.

Identification & Billing

NDC Package Code
59390-182-13
Package Description
1 BOTTLE in 1 CARTON / 15 mL in 1 BOTTLE
Product Code
59390-182
11-Digit Billing Format
59390018213
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Goniotaire
Non-Proprietary Name
Hypromellose 2906 (4000 Mpa.s)
Substance Name
Hypromellose 2906 (4000 Mpa.s)
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
HYPROMELLOSE 2906 (4000 MPA.S) 25 mg/mL
Usage Information
For professional use in gonioscopic examinations.

Regulatory & Marketing

Labeler Name
Altaire Pharmaceuticals Inc.
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
01-18-2002
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 59390-182-13 identifies a specific commercial package of 1 bottle in 1 carton / 15 ml in 1 bottle of Goniotaire, a human prescription drug labeled by Altaire Pharmaceuticals Inc.. This solution is formulated for ophthalmic use and contains hypromellose 2906 (4000 mpa.s) 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 January 18, 2002. 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: 59390018213. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
59390-182-13
11-Digit CMS (5-4-2)
59390-0182-13

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