Refresh Relieva PF Xtra Carboxymethylcellulose Sodium and Glycerin 5 mg/mL; 9 mg/mL Solution/ Drops — NDC 0023-3782-20 (Billing 00023-3782-20)
This is a package of Refresh Relieva PF Xtra Carboxymethylcellulose Sodium and Glycerin 5 mg/mL; 9 mg/mL Solution/ Drops from Allergan, Inc., marketed since Mar 2024 and currently FDA-listed.
NDC database record
One package, one record: these facts belong to NDC 0023-3782-20 alone.
- Record
- FDA NDC Directory package listing · Human OTC drug
- Code segments
- 0023 labeler · 3782 product · 20 package
- Package marketed since
- Oct 15, 2025
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2027
- Barcode (UPC-A, from the NDC)
- 3 0023378220 0
- FDA record last changed
- Jul 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 080553
- GCN: 47432
- GPI-14 (Medi-Span): 86209902122012
- HICL (First Databank): 035927
- AHFS class code: 52:92.00.00
- RxCUI (RxNorm): 1100650
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 8, 2026
- FDA label on DailyMed · label index refreshed Oct 8, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 8, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 8, 2026
Clinical
Refresh Relieva PF Xtra is an over-the-counter eye drop solution marketed under FDA's OTC monograph rules for eye lubricants. It contains carboxymethylcellulose sodium and glycerin, both of which are humectants commonly used to lubricate and moisten the eye surface. These ingredients are typically used to help relieve dryness and irritation of the eyes.
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 8, 2026
- FDA label on DailyMed · label index refreshed Oct 8, 2026
Ask a licensed pharmacist directly — free, answered by our team.
Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per mL | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
Where does this data come from?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 9, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Per unit | Per pack | Marketing start | Marketing end | Status |
|---|---|---|---|---|---|---|
| 00023-3782-10 0023-3782-10 Main listing | 1 BOTTLE, DROPPER in 1 CARTON / 10 mL in 1 BOTTLE, DROPPER | $1.25 / mL | $12.54 | 2024-03-01 | — | Active |
| 00023-3782-20 You're viewing this | 2 BOTTLE, DROPPER in 1 CARTON / 10 mL in 1 BOTTLE, DROPPER | — | — | 2025-10-15 | — | Active |
| 00023-3782-35 0023-3782-35 | 1 BOTTLE, DROPPER in 1 CARTON / 10 mL in 1 BOTTLE, DROPPER | — | — | 2024-03-01 | — | Active |
| 00023-3782-50 0023-3782-50 | 1 BOTTLE, DROPPER in 1 CARTON / 3.5 mL in 1 BOTTLE, DROPPER Sample | — | — | 2024-03-01 | — | Active |
This pack shows little to no recent Medicaid volume — a different pack size carries most fills. See all packs ↓
Pack size FAQ
What quantity is in this package?
What NDC number is used to bill for this package of Refresh Relieva PF Xtra Carboxymethylcellulose Sodium and Glycerin 5 mg/mL; 9 mg/mL Solution/ Drops?
Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Refresh RELIEVA PF 5 mg/mL; 10 mg/mL 00023-4515-30 | Allergan, | 30 vials | $0.453 | — | Availability likely | — |
| Refresh Tears Pf 5 mg/mL; 9 mg/mL 00023-3110-10 | Allergan, | 1 bottle | $1.254 | — | Availability likely | — |
| Refresh Optive 5 mg/mL; 9 mg/mL 00023-3240-01 | Allergan, | 2 bottles | — | — | Discontinued | — |
| Refresh Optive 5 mg/mL; 9 mg/mL 00023-3416-05 | Allergan, | 5 vials | — | — | FDA listed | — |
| Refresh Relieva PF Xtra 5 mg/mL; 9 mg/mLthis 00023-3782-20 | Allergan, | 2 bottles | — | — | FDA listed | — |
| Refresh Relieva 5 mg/mL; 9 mg/mL 00023-6630-03 | Allergan, | 1 bottle | — | — | FDA listed | — |
| Refresh Relieva Preservative Free 5 mg/mL; 9 mg/mL 00023-6634-01 | Allergan, | 1 bottle | — | — | FDA listed | — |
| Equate Lubricant Eye Drops .5 g/100mL; .9 g/100mL 11716-0365-05 | Hanlim | 1 bottle | — | — | FDA listed | — |
| Medics Choice Fresh and Soothe 5 mg/mL; 9 mg/mL 55651-0200-01 | KC | 1 bottle | — | — | FDA listed | — |
| Medics Choice Fresh and Soothe 5 mg/mL; 9 mg/mL 73669-0200-01 | Unimed | 1 bottle | — | — | FDA listed | — |
| Equate Optimal Hydration Lubricant Eye Drops .5 g/100mL; .9 g/100mL 79903-0258-05 | Walmart, | 1 bottle | — | — | FDA listed | — |
| Equate Lubricant Eye Drops .5 g/100mL; .9 g/100mL 79903-0365-05 | Walmart | 1 bottle | — | — | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 8, 2026
- FDA Orange Book · refreshed Oct 9, 2026
- CMS NADAC weekly file
Availability & generic status
We did not find an FDA-approved generic match for this exact strength, form and route.
Where does this data come from?
- FDA Orange Book · refreshed Oct 9, 2026
Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII R57ZHV85D4
Boric acid is a weak acid derived from boron. In medicines, it typically serves as a buffer to help maintain the product's pH level and may act as a preservative in certain formulations.
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UNII M4I0D6VV5M
Calcium chloride is a salt compound that acts as a firming agent and source of calcium ions in medications. It's used in formulations to help maintain tablet structure, improve texture, or serve as a buffering agent.
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UNII RA96B954X6
Erythritol is a sugar alcohol derived from fermented fruits or grains. It's used as a sweetener and bulking agent in medicines to improve taste without adding significant calories.
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UNII YSE9PPT4TH
Hyaluronate sodium is a natural carbohydrate that holds moisture. It's used in medicines as a lubricant, thickener, and moisture-retaining agent to improve texture and delivery of the active ingredient.
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UNII QTT17582CB
A strong acid used to adjust and maintain the proper pH level in liquid medicines, ensuring stability and preventing breakdown of active ingredients.
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UNII 0G389FZZ9M
Levocarnitine is an amino acid derivative that helps transport fatty acids in cells. In medications, it serves as an active nutritional component rather than a typical inactive binder or filler.
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UNII 02F3473H9O
A mineral salt used in medications as a source of magnesium. It helps bind ingredients together, improve texture, and maintain the product's stability during storage.
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UNII 660YQ98I10
Potassium chloride is a mineral salt used in medicines as a buffer and to help maintain the proper pH balance and stability of the formulation during storage and use.
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UNII 91MBZ8H3QO
Sodium borate is an inorganic salt compound used in medicines as a buffer to help maintain a stable pH level, and sometimes as a mild preservative or cleansing agent in topical formulations.
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UNII 55X04QC32I
A strong alkaline chemical used to adjust and maintain the pH balance of liquid medicines. It helps keep the medicine stable and ensures it stays effective during storage.
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UNII B8WCK70T7I
Trehalose is a natural sugar made from two glucose molecules linked together. It's used in medicines as a filler to add bulk, a sweetener for taste, and a stabilizer to help keep active ingredients effective during storage.
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UNII B22547B95K
A salt derived from citric acid that helps maintain the proper acid-base balance in the medicine. It's used as a buffer to keep the product stable and at the right pH level.
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UNII 059QF0KO0R
Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.
13 inactive ingredients listed in the exact product block matched to this NDC.
Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 8, 2026
- FDA openFDA NDC Directory · synced Oct 8, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from Allergan, Inc. labeler code 00023
- Ozurdex dexamethasone .7 mg Implant NDC 0023-3348-07
- Refresh Optive Carboxymethylcellulose Sodium, Glycerin 5 mg/mL; 9 mg/mL Solution/ Drops NDC 0023-3416-05
- ACUVAIL ketorolac tromethamine 4.5 mg/mL Solution/ Drops NDC 0023-3507-05
- ZYMAXID gatifloxacin 5 mg/mL Solution/ Drops NDC 0023-3615-01
- LATISSE bimatoprost .3 mg/mL Solution/ Drops NDC 0023-3616-05
- ACZONE dapsone 50 mg/g Gel NDC 0023-3670-03
- BOTOX Cosmetic onabotulinumtoxinA 50 [USP'U]/1 Injection, Powder, Lyophilized, For Solution NDC 0023-3919-50
- BOTOX onabotulinumtoxinA 200 [USP'U]/1 Injection, Powder, Lyophilized, For Solution NDC 0023-3921-02
- Refresh Optive Mega-3 PF carboxymethylcellulose sodium, Glycerin, Polysorbate 80 5 mg/mL; 10 mg/mL; 80 5 mg/mL Solution/ Drops NDC 0023-3988-05
- REFRESH Optive Mega-3 Carboxymethylcellulose sodium, Glycerin and Polysorbate 80 5 mg/mL; 10 mg/mL; 80 5 mg/mL Solution/ Drops NDC 0023-4230-70
- LASTACAFT alcaftadine 2.5 mg/mL Solution/ Drops NDC 0023-4290-01
- LASTACAFT alcaftadine 2.5 mg/mL Solution/ Drops NDC 0023-4291-01
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 8, 2026
- Drugs@FDA
FDA label — Drug Facts FDA SPL
🎯 Indications and Usage ▾
Uses For the temporary relief of burning, irritation, and discomfort due to dryness of the eye or exposure to wind or sun. May be used as a protectant against further irritation.
⏱️ Dosage and Administration ▾
Directions Prior to first use, please read the “Instructions For Use” inside this carton. Instill 1 or 2 drops in the affected eye(s) as needed.
⚠️ Warnings ▾
Warnings For external use only. To avoid contamination, do not touch tip of contai ner to any surface. Replace cap after using.
If solution changes color or becomes cloudy , do not use. Stop use and ask a doctor if you experience eye pain, changes in vision, continued redness or irritation of the eye, or if the condition worsens or persists for more than 72 hours. Keep out of reach of children.
If swallowed, get medical help or contact a Poison Control Center right away.
🧪 Active Ingredient ▾
Active ingredients Carboxymethylcellulose sodium 0.5% Glycerin 0.9%
🧪 Inactive Ingredients ▾
Inactive ingredients Boric acid; calcium chloride dihydrate; erythritol; levocarnitine; magnesium chloride hexahydrate; potassium chloride; purified water; sodium borate decahydrate; sodium citrate dihydrate; sodium hyaluronate, and trehalose. May contain hydrochloric acid and/or sodium hydroxide (to adjust pH).
🎯 Purpose ▾
Purpose Eye lubricant Eye lubricant
📄 Stop Use and Ask a Doctor If ▾
Stop use and ask a doctor if you experience eye pain, changes in vision, continued redness or irritation of the eye, or if the condition worsens or persists for more than 72 hours.
📄 Keep Out of Reach of Children ▾
Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.
📄 Other Information ▾
Other information Use only if tape seals on top and bottom flaps are intact. Use before expiration date marked on container. Discard 90 days after opening. Store at 59°-77°F (15°-25°C). RETAIN THIS CARTON AND THE INSERT FOR FUTURE REFERENCE.
📄 Questions or Comments ▾
Questions or comments? 1.800.678.1605 refresh eyedrops .com v2.0DFL3782
📄 Package Label / Principal Display Panel ▾
PRINCIPAL DISPLAY PANEL NDC 0023-3782-10 PRESERVATIVE-FREE Refresh ® R ELIEVA ® PF Xtra Lubricant Eye Drops With HydroCell ® Fast-Acting Relief Hydrates & Protects Dry, Sensitive Eyes 0.33 fl oz (10 mL) Sterile PRINCIPAL DISPLAY PANEL NDC 0023-3782-10 PRESERVATIVE-FREE Refresh® RELIEVA® PF Xtra Lubricant Eye Drops With HydroCell® Fast-Acting Relief Hydrates & Protects Dry, Sensitive Eyes 0.33 fl oz (10 mL) Sterile
Medicaid utilization by pack size
About this NDC listing & data coverage
What data is (and isn’t) available for this NDC — tap to expand
| NDC identity (package / product / labeler codes) | ✓ Available |
| Labeler | ✓ Available |
| Product & package description | ✓ Available |
| Marketing category & status | ✓ Available |
| Active ingredient / dosage form / route | ✓ Available |
| FDA label (SPL via DailyMed) | ✓ Available |
| Package photos | ✓ Available |
| Inactive ingredients (structured) | ✓ Available |
| NADAC pharmacy acquisition price (CMS) | — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey. |
| Orange Book / therapeutic-equivalence data | — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope. |
| HCPCS J-code billing crosswalk | — Not published for this NDC Most self-administered / retail products have no J-code — that is normal. |
| Medicaid utilization (CMS SDUD) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |