Winco Advanced Relief Eye Drops Solution/ Drops
NDC Package 67091-282-15

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

Package Information

Winco Advanced Relief Eye Drops (dextran 70, polyethylene glycol 400, povidone, tetrahydrozoline hcl) solution/ dropses is usesrelieves redness of the eye due to minor eye irritations as a lubricant to prevent further irritation or to relieve dryness of the eye. This formulation utilizes a solution/ drops delivery system. Marketed by Winco Foods, Llc, this product is identified by NDC 67091-282 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
67091-282-15
Package Description
1 BOTTLE, DROPPER in 1 BOX / 15 mL in 1 BOTTLE, DROPPER
Product Code
67091-282
11-Digit Billing Format
67091028215
RxNorm Crosswalk
  • RxCUI: 996202 - dextran 70 0.1 % / polyethylene glycol 400 1 % / povidone 1 % / tetrahydrozoline HCl 0.05 % Ophthalmic Solution
  • RxCUI: 996202 - dextran 70 1 MG/ML / polyethylene glycol 400 10 MG/ML / povidone 10 MG/ML / tetrahydrozoline hydrochloride 0.5 MG/ML Ophthalmic Solution

Clinical Specifications

Proprietary Name
Winco Advanced Relief Eye Drops
Non-Proprietary Name
Dextran 70, Polyethylene Glycol 400, Povidone, Tetrahydrozoline Hcl
Substance Name
Dextran 70; Polyethylene Glycol 400; 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)
Pharmacologic Class
Usage Information
Usesrelieves redness of the eye due to minor eye irritations as a lubricant to prevent further irritation or to relieve dryness of the eye

Regulatory & Marketing

Labeler Name
Winco Foods, Llc
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-09-2015
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 67091-282-15 identifies a specific commercial package of 1 bottle, dropper in 1 box / 15 ml in 1 bottle, dropper of Winco Advanced Relief Eye Drops, a human over the counter drug labeled by Winco Foods, Llc. This solution/ drops is formulated for ophthalmic use and contains dextran 70; polyethylene glycol 400; 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 Winco Foods, Llc on January 09, 2015. The current certification is valid through December 31, 2026.

How is this Winco Foods, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67091028215. 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)
67091-282-15
11-Digit CMS (5-4-2)
67091-0282-15

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