Nighttime Dry-eye Relief
NDC Package 69842-568-13

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.

Nighttime Dry-eye Relief is directions• Wash your hands. Marketed by Cvs, this product is identified by NDC 69842-568 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
69842-568-13
Package Description
1 TUBE in 1 BOX / 3.5 g in 1 TUBE
Product Code
69842-568
11-Digit Billing Format
69842056813
RxNorm Crosswalk
  • RxCUI: 702008 - mineral oil 42.5 % / petrolatum 57.3 % Ophthalmic Ointment
  • RxCUI: 702008 - mineral oil 0.425 MG/MG / petrolatum 0.573 MG/MG Ophthalmic Ointment
  • RxCUI: 702008 - mineral oil 42.5 % / petrolatum, white 57.3 % Ophthalmic Ointment

Clinical Specifications

Proprietary Name
Nighttime Dry-eye Relief
Dosage Form
-
Usage Information
Directions• Wash your hands. • Pull down the lower lid of the affected eye and gently apply a small amount (1/4”) of ointment to the inside of the eyelid.

Regulatory & Marketing

Labeler Name
Cvs
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
08-30-2019
Listing Expiration
12-31-2020
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 69842-568-13 identifies a specific commercial package of 1 tube in 1 box / 3.5 g in 1 tube of Nighttime Dry-eye Relief, labeled by Cvs. 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 Cvs on August 30, 2019. The current certification is valid through December 31, 2020.

How is this Cvs product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842056813. 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)
69842-568-13
11-Digit CMS (5-4-2)
69842-0568-13

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