NDC 00065-0426-37 — GenTeal Tears (Moderate) Dextran 70

🆔 Identity & classification

FDA NDC (as labeled) 0065-0426-37

Product NDC 0065-0426

11-digit billing NDC 00065042637

NCPDP billing unit ML — per mL (volume)

RxCUI 900138

UNII 7SA290YK68, PDC6A3C0OX, 3NXW29V3WO

Application # M018

SPL Set ID a2992597-3490-6a5c-be45-2b6fa15e1547

Established class (EPC) Plasma Volume Expander; Non-Standardized Chemical Allergen

Mechanism of action Osmotic Activity

Physiologic effect Increased Intravascular Volume; Increased Histamine Release; Cell-mediated Immunity; Increased IgG Production

Chemical class Allergens; Glycerol

DEA schedule Non-controlled

Marketing category OTC MONOGRAPH DRUG

Marketing status On market

FDA listing status Listed (active directory)

Marketing start 2016-03-01

Route OPHTHALMIC

Dosage form SOLUTION/ DROPS

Substance DEXTRAN 70; GLYCERIN; HYPROMELLOSES

GPI-14 86201000002000

GPI class GenTeal Tears

GCN Seq No 047660

GCN 13064

HICL code 022019

Ingredient (HICL) Dextran/Hypromellose/Glycerin

HIC1 code Q

Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other

HIC2 code Q6

Therapeutic class — intermediate (HIC2) Ophthalmic Preparations

HIC3 code Q6T

Therapeutic class — specific (HIC3) Artificial Tears

AHFS code 52:92.00.00

AHFS class Eent Drugs, Miscellaneous

FDB label name GENTEAL TEARS 0.1%-0.2%-0.3%

FDB brand name Genteal Tears

Legend status O — Over-the-counter (OTC) drug or device

Why two NDCs? The FDA registers this code as 0065-0426-37 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00065-0426-37. Same drug, same package — only the format differs.

Where does this data come from?

Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

🏷️ RxNorm drug class

This medicine belongs to the Viscoelastic substances class.

Drug family (ATC) Viscoelastic substances

Where does this data come from?

Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

🏭 Manufacturer & labeler

LabelerAlcon Laboratories, Inc.

FDA applicationM018 (OTC MONOGRAPH DRUG)

Labeler code00065

First marketedMar 2016

Product typeHuman Otc Drug

Portfolio55 products on file

🔎 All NDCs from Alcon Laboratories, Inc.

The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).

Where does this data come from?

Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

🩺 Clinical

Label name GENTEAL TEARS 0.1%-0.2%-0.3% Ingredient Dextran/Hypromellose/Glycerin

🧪 What is this product?

GenTeal Tears (Moderate) is an over-the-counter eye drop solution containing dextran 70, glycerin, and hypromellose. These ingredients are commonly combined in artificial tear products to help lubricate and moisturize the eye surface. Dextran and hypromellose function as thickening agents that help the drops coat the eye, while glycerin adds moisture-retaining properties. This product is an OTC monograph drug, meaning it is marketed under established FDA guidelines for the artificial tears category.

Patient education

📘 MedlinePlus patient leaflet ↗

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →

Where does this data come from?

Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

🧪 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.

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.
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.
UNII TE7660XO1C
Glycine is an amino acid used in medicines as a buffer to help stabilize pH and improve taste. It may also serve as a filler or binder to give the product proper form and consistency.
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.
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.
UNII 6716Z5YR3G
A synthetic polymer compound used as an antimicrobial preservative and stabilizer in pharmaceutical formulations. It helps prevent microbial growth and maintain product stability during storage.
UNII 6OZP39ZG8H
Polysorbate 80 is a synthetic emulsifier derived from sorbitol and oleic acid. It helps mix oil and water-based ingredients together in medications and improves how the product disperses in the body.
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.
UNII 451W47IQ8X
Sodium chloride is common table salt. It's used in medicines as a buffer to maintain proper pH, as a filler to add bulk, or to adjust the osmotic balance in liquid formulations.
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.
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.
UNII 86Q357L16B
Zinc chloride is a mineral salt used as a buffer and pH regulator in medications. It helps maintain the chemical stability and proper acidity level of the drug formulation.

12 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesboric acid, calcium chloride, glycine, hydrochloric acid and/or sodium hydroxide (to adjust pH), magnesium chloride, POLYQUAD * (polyquaternium-1) 0.001% preservative, polysorbate 80, potassium chloride, purified water, sodium chloride, zinc chloride.

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?

Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — 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.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?

No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.

Why might an inactive ingredient be missing?

Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.

Can inactive ingredients matter?

Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

💲 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	$0.425	$12.75 / 30 ml
Medicaid paysCMS SDUD · 12 mo	$0.7127	$21.38 / 30 ml
Medicare drug plans payPart D · quarterly	No Part D plan price is available for this NDC in our data.

NADAC price history (per mL) — tap or hover for the price & month

▲ Up 4% over the last 11 months.

Where does this data come from?

NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

🔁 Therapeutic equivalents

Product	Labeler	Pack	NADAC/unit	TE	Status	Price vs. this
Artificial Tears 70 1 mg/mL; 2 mg/mL; 3 mg/mL 50268-0043-15	AvPAK	15 ml	$0.404	—	Availability likely	save 5%
GenTeal Tears (Moderate) 70 1 mg/mL; 2 mg/mL; 3 mg/mLthis 00065-0426-37	Alcon	2 bottles	$0.425	—	Availability likely	—
Genteal Tears 70 1 mg/mL; 2 mg/mL; 3 mg/mL 50090-5050-00	A-S	1 bottle	—	—	FDA listed	—

About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.

Where does this data come from?

Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

⏳ Availability & generic status

🏛️

2016

On the market since

Mar 2016

📍

2026

Currently FDA-listed

10 years listed

🔒

·

No generic listed yet

brand only

ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?

Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

🗺️ Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 00065-0426-37, not the drug overall. Other pack sizes report separately.

💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.

📅 Q1 2025 – Q1 2026 · 5 quarters of data

ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.

Prescriptions last 4 qtrs

289

Units reimbursed last 4 qtrs

7.6K

Gross reimbursed last 4 qtrs

$5.4K

Avg / prescription

$18.62

Avg / unit

$0.7128

Latest quarter Q1 2026

64Rx

Medicaid pays / mL

$0.7128

gross reimbursed

vs

NADAC / mL

$0.4250

acquisition cost

=

Spread

+$0.2878

+68% vs cost

What Medicaid paid per mL (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.

Fee-for-service vs managed care ⓘ

96% MCO

Fee-for-service · 12 Rx Managed care · 277 Rx

State Medicaid map

Units reimbursed · per 100k residents

3.146.9

gray = no data reported ⓘ

Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.

Tap or hover a state

…for its Medicaid breakdown

🏆 Top states by units · per 100k residents

1 Minnesota 46.9 /100k

2 Maine 24.7 /100k

3 Ohio 19.9 /100k

4 Pennsylvania 14.6 /100k

5 New Jersey 3.1 /100k

National units — by quarter

💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

💊 Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.

1 bottle00065-0426-36 22,979 Rx · $510,410

2 bottles this page00065-0426-37 289 Rx · $5,381

Drug total (last 4 qtrs): 23,268 Rx · 359,389 units · $515,791 gross reimbursed

Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

📦 Packaging — all sizes for this product

Package NDC	Description	Per unit	Per pack	Marketing start	Status
00065-0426-36	1 BOTTLE, DROPPER in 1 CARTON (0065-0426-36) / 15 mL in 1 BOTTLE, DROPPER	$0.4807 / mL	$7.21	2016-03-01	Active
00065-0426-37 You're viewing this	2 BOTTLE, DROPPER in 1 CARTON (0065-0426-37) / 15 mL in 1 BOTTLE, DROPPER	$0.4250 / mL	$12.75	2016-03-01	Active

This pack has the lowest per-mL cost of the 2 priced pack sizes ($0.4250 NADAC).

This pack accounts for about 1.2% of this product's recent Medicaid fills; most go to a different pack size. See all packs ↓

Pack size FAQ

What quantity is in NDC 00065-0426-37?

NDC 00065-0426-37 is listed by the FDA — 2 bottle, dropper in 1 carton / 15 ml in 1 bottle, dropper.

What NDC number is used to bill for this package of GenTeal Tears (Moderate) Dextran 70, Glycerin, Hypromellose 70 1 mg/mL; 2 mg/mL; 3 mg/mL Solution/ Drops?

Bill NDC 00065-0426-37 — the 11-digit billing format is 00065042637. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

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.

📄 FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.

🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose

🎯 Indications and Usage 37 words ▾

Uses temporary relief of burning and irritation due to dryness of the eye as a protectant against further irritation temporary relief of discomfort due to minor irritations of the eye or to exposure to wind or sun

⏱️ Dosage and Administration 12 words ▾

Directions put 1 or 2 drops in the affected eye(s) as needed

⚠️ Warnings 5 words ▾

Warnings For external use only

📦 Storage and Handling 6 words ▾

Other Information store at room temperature

🧪 Active Ingredient 13 words ▾

Active ingredients Purpose Dextran 70 0.1% Lubricant Glycerin 0.2% Lubricant Hypromellose 0.3% Lubricant

🧪 Inactive Ingredients 32 words ▾

Inactive ingredients: boric acid, calcium chloride, glycine, hydrochloric acid and/or sodium hydroxide (to adjust pH), magnesium chloride, POLYQUAD * (polyquaternium-1) 0.001% preservative, polysorbate 80, potassium chloride, purified water, sodium chloride, zinc chloride.

🎯 Purpose 13 words ▾

Active ingredients Purpose Dextran 70 0.1% Lubricant Glycerin 0.2% Lubricant Hypromellose 0.3% Lubricant

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

🔗 Related NDC lookups

🧪 All Dextran 70, Glycerin, Hypromellose NDCsSame ingredient 🏭 All Alcon labeler NDCsLabeler code 00065 📚 All Non-Standardized Chemical Allergen NDCsDrug class

💊 Related drugs in this class

Other drugs that share this product’s specific therapeutic class — Artificial Tears.

Carboxymethylcellulose Sodium 00023-0403-05 Polyvinyl Alcohol/Povidone/Pf 00023-0506-01 Carboxymethylcell/Glycerin/Pf 00023-3110-10 Carboxymethylcellulos/Glycerin 00023-3240-01 Carboxymethyl/Gly/Poly80/Pf 00023-3988-05 Carboxymethyl/Glycerin/Poly80 00023-4307-02 Hypromellose 00065-0408-72 Dextran 70/Hypromellose/Pf 00065-0419-18 Propylene Glycol/Peg 400 00065-0429-15 Propylene Glycol/Peg 400/Pf 00065-0431-33 Propylene Glycol 00065-0481-01 Dextran 70/Hypromellose 00536-1282-94 Polyvinyl Alcohol 00536-1325-94 Hydroxypropyl Cellulose 24208-0800-60 Polyvinyl Alcohol/Povidone 24385-0006-05

Where does this data come from?

Other drugs sharing this product’s First Databank therapeutic class (HIC3). Each links to that NDC’s page in our directory.