Boraqua Eye Wash
NDC Package 69666-871-04

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.

Boraqua Eye Wash is remove contact lenses before using.Do not touch tip of container to any surface to avoid contamination.Replace cap after use. Marketed by Genuine Drugs, this product is identified by NDC 69666-871 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
69666-871-04
Package Description
1 BOTTLE in 1 BOX / 118 mL in 1 BOTTLE
Product Code
69666-871
11-Digit Billing Format
69666087104
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Boraqua Eye Wash
Dosage Form
-
Usage Information
Remove contact lenses before using.Do not touch tip of container to any surface to avoid contamination.Replace cap after use.

Regulatory & Marketing

Labeler Name
Genuine Drugs
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-20-2015
Listing Expiration
12-31-2024
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 69666-871-04 identifies a specific commercial package of 1 bottle in 1 box / 118 ml in 1 bottle of Boraqua Eye Wash, labeled by Genuine Drugs. 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 Genuine Drugs on April 20, 2015. The current certification is valid through December 31, 2024.

How is this Genuine Drugs product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69666087104. 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)
69666-871-04
11-Digit CMS (5-4-2)
69666-0871-04

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