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  5. NDC Package Code: 65923-843-04 Systane Ultra Single Vials

NDC Package 65923-843-04 Systane Ultra Single Vials

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

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:
65923-843-04
Package Description:
.4 mL in 1 VIAL
Product Code:
65923-843
Proprietary Name:
Systane Ultra Single Vials
Usage Information:
DirectionsInstill 1 or 2 drops in the affected eye(s) as needed.
11-Digit NDC Billing Format:
65923084304
NDC to RxNorm Crosswalk:
  • RxCUI: 477589 - polyethylene glycol 400, 0.4 % / propylene glycol 0.3 % Ophthalmic Solution
  • RxCUI: 477589 - polyethylene glycol 400 4 MG/ML / propylene glycol 3 MG/ML Ophthalmic Solution
  • RxCUI: 477589 - PEG 400 0.4 % / propylene glycol 0.3 % Ophthalmic Solution
Labeler Name:
United Exchange Corp.
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:
01-02-2017
Listing Expiration Date:
12-31-2019
Exclude Flag:
I
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 65923-843-04?

The NDC Packaged Code 65923-843-04 is assigned to a package of .4 ml in 1 vial of Systane Ultra Single Vials, labeled by United Exchange Corp.. The product's dosage form is and is administered via form.

Is NDC 65923-843 included in the NDC Directory?

No, Systane Ultra Single Vials with product code 65923-843 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by United Exchange Corp. on January 02, 2017 and its listing in the NDC Directory is set to expire on December 31, 2019 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 65923-843-04?

The 11-digit format is 65923084304. 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
5-3-265923-843-045-4-265923-0843-04