Vista Hypromellose Dry Eye Relief Gel
NDC Package 77790-002-10

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

Package Information

Vista Hypromellose Dry Eye Relief (hypromellose) gel is install 1 or 2 drops in the affected eye(s) as needed. This formulation utilizes a gel delivery system. Marketed by Red Wedding Llc, this product is identified by NDC 77790-002 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
77790-002-10
Package Description
1 BOTTLE, DISPENSING in 1 BOX / 10 mL in 1 BOTTLE, DISPENSING
Product Code
77790-002
11-Digit Billing Format
77790000210
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

Clinical Specifications

Proprietary Name
Vista Hypromellose Dry Eye Relief
Non-Proprietary Name
Hypromellose
Substance Name
Hypromellose 2910 (50 Mpa.s)
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
Administration Route
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
HYPROMELLOSE 2910 (50 MPA.S) .3 g/mL
Usage Information
Install 1 or 2 drops in the affected eye(s) as needed

Regulatory & Marketing

Labeler Name
Red Wedding Llc
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-2024
Listing Expiration
12-31-2027
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 77790-002-10 identifies a specific commercial package of 1 bottle, dispensing in 1 box / 10 ml in 1 bottle, dispensing of Vista Hypromellose Dry Eye Relief, a human over the counter drug labeled by Red Wedding Llc. This gel is formulated for ophthalmic use and contains hypromellose 2910 (50 mpa.s) 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 Red Wedding Llc on January 01, 2024. The current certification is valid through December 31, 2027.

How is this Red Wedding Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 77790000210. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
77790-002-10
11-Digit CMS (5-4-2)
77790-0002-10

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