Artificial Tears Lubricant Eye
NDC Package 67091-284-15

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
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.

Artificial Tears Lubricant Eye is uses: for use as a protectant against further irritation or to relieve dryness of the eyefor the temporary relief of discomfort due to minor irritations of the eye, or to exposure to wind or sun. Marketed by Winco Foods, Llc, this product is identified by NDC 67091-284 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
67091-284-15
Package Description
1 BOTTLE, DROPPER in 1 BOX / 15 mL in 1 BOTTLE, DROPPER
Product Code
67091-284
11-Digit Billing Format
67091028415
RxNorm Crosswalk
  • RxCUI: 598050 - polyvinyl alcohol 0.5 % / povidone 0.6 % Ophthalmic Solution
  • RxCUI: 598050 - polyvinyl alcohol 0.005 ML/ML / povidone 6 MG/ML Ophthalmic Solution

Clinical Specifications

Proprietary Name
Artificial Tears Lubricant Eye
Dosage Form
-
Usage Information
Uses: for use as a protectant against further irritation or to relieve dryness of the eyefor the temporary relief of discomfort due to minor irritations of the eye, or to exposure to wind or sun

Regulatory & Marketing

Labeler Name
Winco Foods, Llc
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-09-2015
Listing Expiration
12-31-2025
Exclude Flag
I
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 67091-284-15 identifies a specific commercial package of 1 bottle, dropper in 1 box / 15 ml in 1 bottle, dropper of Artificial Tears Lubricant Eye, labeled by Winco Foods, Llc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Winco Foods, Llc on January 09, 2015. The current certification is valid through December 31, 2025.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67091028415. 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)
67091-284-15
11-Digit CMS (5-4-2)
67091-0284-15

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