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TRYPTYR Acoltremon .03 mg/mL Solution — NDC 00065-8595-01 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

TRYPTYR Acoltremon .03 mg/mL Solution — NDC 0065-8595-01 (Billing 00065-8595-01)

by Alcon Laboratories, Inc. · 3 POUCH in 1 CARTON / 5 VIAL in 1 POUCH / .4 mL in 1 VIAL

This is a package of TRYPTYR Acoltremon .03 mg/mL Solution from Alcon Laboratories, Inc., marketed since Jul 2025 and currently FDA-listed.

NDC 00065-8595-01
🏷️ FDA NDC (as labeled) 0065-8595-01 billing pads the labeler segment with a zero
This package
Contains.4 mL in 1 vial Pack sizes2 compare ↓
Also priced by: Part D plans $15.06/unit — full pricing hub ↓
Rx only Brand On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 8, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

NDC database record

One package, one record: these facts belong to NDC 0065-8595-01 alone.

Record
FDA NDC Directory package listing · Human prescription drug
Code segments
0065 labeler · 8595 product · 01 package
Package marketed since
Jul 23, 2025
Sample package
Yes — professional sample, not for sale
Listing certified through
Dec 31, 2026
Barcode (UPC-A, from the NDC)
3 0065859501 0
FDA record last changed
Jul 24, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0065-8595-01
Product NDC 0065-8595
11-digit billing NDC 00065859501
RxCUI 2716821, 2716826
UNII 1L7BVT4Z4Z
Application # NDA217370
SPL Set ID 2b7715a1-035c-4002-b582-5238efee5d58
Established class (EPC) TRPM8 Thermoreceptor Agonist
Mechanism of action TRPM8 Thermoreceptor Agonists
DEA schedule Non-controlled
Marketing category NDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2025-07-23
Route OPHTHALMIC, TOPICAL
Dosage form SOLUTION
Substance ACOLTREMON

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 86805310002020
GCN Seq No 087816
GCN 57839
HICL code 050621
Ingredient (HICL) Acoltremon
HIC1 code Q
Therapeutic class — broad (HIC1) Ear/Eye/Nose/Rectum/Topical/Vagina/Other
HIC2 code Q2
Therapeutic class — intermediate (HIC2) Drugs Acting On The Eye
HIC3 code Q20
Therapeutic class — specific (HIC3) Ophthalmic Trpm8 Agonists
AHFS code 52:92.00.00
AHFS class Eent Drugs, Miscellaneous
FDB label name TRYPTYR 0.003% EYE DROP
FDB brand name Tryptyr
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 087816
  • GCN: 57839
  • GPI-14 (Medi-Span): 86805310002020
  • HICL (First Databank): 050621
  • AHFS class code: 52:92.00.00
  • RxCUI (RxNorm): 2716821
Why two NDCs? The FDA registers this code as 0065-8595-01 — 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 → 00065-8595-01. 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 TRPM8 Thermoreceptor Agonist class.

Pharmacologic class TRPM8 Thermoreceptor Agonist
How it works TRPM8 Thermoreceptor Agonists
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.

Clinical

Label name TRYPTYR 0.003% EYE DROP Ingredient Acoltremon
📖 What it is MedlinePlus · NLM

Acoltremon ophthalmic solution is used to treat signs and symptoms of dry eye disease (a condition where tears aren't able to provide adequate moisture for your eyes). Acoltremon is in a class of medications called transient receptor potential melastatin 8 (TRPM8) agonists. It works by increasing tear production.

Read the full MedlinePlus article ↗
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.

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 systemPer mLPer 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 · Q2 2026 $15.06 $90.38 / 6 ml
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.

Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startMarketing endStatus
00065-8595-01 You're viewing this 3 POUCH in 1 CARTON / 5 VIAL in 1 POUCH / .4 mL in 1 VIAL Sample — — 2025-07-23 — Active
00065-8595-02 0065-8595-02 Main listing 12 POUCH in 1 CARTON / 5 VIAL in 1 POUCH / .4 mL in 1 VIAL $14.09 / ea $845.18 2025-07-23 — 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?
This package is listed by the FDA — 3 pouch in 1 carton / 5 vial in 1 pouch / .4 ml in 1 vial.
What NDC number is used to bill for this package of TRYPTYR Acoltremon .03 mg/mL Solution?
Use the 11-digit billing form listed in the identifiers section of this page. 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.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Tryptyr .03 mg/mLthis 00065-8595-01 Alcon 3 pouches — — FDA listed —
About this product: this is the brand-name version. We did not find an FDA-approved generic match for this exact strength, form and route.
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

🏛️
2025
First FDA approval
May 2025
📍
2026
Currently FDA-listed
1 year listed
🛡️
2042
Latest patent/protection listed
not a guaranteed launch date
🔒No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route. Patent/protection dates below may affect future generic timing.

🛡️ Latest patent/protection date listed: FDA patent/protection data lists protections through Dec 2042. This may affect when a full generic version becomes widely available, but it is not a guaranteed launch date.
📅 FDA approved May 28, 2025 RLD RS ⏳ ~16.2 yr to latest listed protection

Why the date isn’t exact: Generic timing can change because patents may be challenged, settled, licensed, added, removed, or worked around with a narrower label — and FDA approval does not always mean a pharmacy can get the generic today.

Patents & exclusivity — FDA Orange Book
US 11850221 — method of use (U-1900)
US 10028920 — method of use (U-1900)
US 9433679 — method of use (U-1900)
US 9095609 — method of use (U-1900)
US 12336971 — method of use (U-1900)
Exclusivity NCE
2025 2027 2029 2031 2033 2035 2037 2039 2041 2043
Today
LOE
Substance patent Formulation patent Method-of-use patent Exclusivity Pediatric +6mo
🏛️FDA exclusivity
FDA-granted marketing protection. It’s separate from patents and may be shorter than patent protection.
🧪Product / substance patents
Patents covering the active ingredient, product, formulation, or related drug features.
🎯Method-of-use patents
Patents covering specific approved uses. These can sometimes be carved out with a “skinny label,” but not always.
🛈 What do these terms mean?
Patent
Legal protection listed in the Orange Book that may delay generic approval or launch. Issued by the U.S. Patent & Trademark Office.
Substance patent
Covers the active drug molecule itself — the hardest to design around. A generic generally can’t launch until it expires.
Formulation (product) patent
Covers a specific formulation or dosage form. A generic can sometimes work around it with a different formulation.
Method-of-use patent
A patent covering one specific approved use of the drug — not necessarily the whole molecule. A generic can sometimes launch with a “skinny label” that carves out the protected use and keeps the others.
Skinny label
A generic label that omits a still-patented use when the FDA allows it — letting a generic reach the market for the unprotected uses.
Exclusivity
FDA-granted marketing protection, separate from patents — e.g. 5-yr new chemical entity, 7-yr orphan drug, or a +6-month pediatric extension.
Paragraph IV
A generic applicant’s formal challenge to a listed patent. It can potentially lead to earlier generic entry, but often involves litigation or a settlement.
RLD / RS
Reference Listed Drug — the brand product the FDA uses as the reference for generic applications. Reference Standard — the product the FDA expects generics to compare against in bioequivalence testing.
TE / AB rating
FDA therapeutic-equivalence rating. An AB rating generally means the FDA considers a generic therapeutically equivalent to — and substitutable for — the brand.
LOE (loss of exclusivity)
The latest patent or exclusivity currently listed — the loss-of-exclusivity / latest-listed-protection date shown on this page. Paragraph-IV challenges and settlements can move the real date earlier; FDA approval and a manufacturer’s decision to market can move it later.

Built from the FDA Orange Book. The bars above are scaled to each protection’s expiry; the red LOE marker is the last one to lapse.

Listed patents (5)
PatentTypeUse codeExpires
US 11850221 ↗ Method of use U-1900 Dec 16, 2042
US 10028920 ↗ Method of use U-1900 Sep 8, 2031
US 9433679 ↗ Method of use U-1900 Sep 8, 2031
US 9095609 ↗ Method of use U-1900 Sep 8, 2031
US 12336971 ↗ Method of use U-1900 Dec 16, 2042
FDA exclusivity
CodeWhat it grantsExpires
NCENew Chemical Entity (5-year)May 28, 2030
Common questions
Is there a generic version of TRYPTYR 0.003% EYE DROP?
No FDA-approved generic equivalent is currently listed in the FDA Orange Book for TRYPTYR 0.003% EYE DROP. Based on the patents and exclusivity currently listed, the Orange Book estimate is that full-label generic entry may be delayed until Dec 2042 — an estimate, not a guaranteed launch date.
The FDA approved a generic — why can’t I get it at my pharmacy yet?
FDA approval and pharmacy availability are two different things. The FDA can approve a generic years before it actually reaches pharmacies, because the brand company may still hold patents or have a settlement that delays the launch. A manufacturer also has to choose to make and sell it, and have supply ready. So a drug can be “FDA-approved generic exists” and still be brand-only at the counter today.
Why do different websites show different generic release dates?
Generic availability is not based on one single date. Some sources use the first exclusivity expiration, some use the last product patent, and others use the latest method-of-use patent. Patent challenges, settlements, licenses, and label carve-outs can also change the real-world launch date. This page shows the underlying Orange Book dates so you can see why estimates may differ.
What does “FDA listed” mean?
It means the product appears in the FDA’s official NDC directory. That’s a good sign a product exists and is intended for the U.S. market, but on its own it does not confirm a pharmacy can fill it today. Where we have recent retail pricing data (NADAC) for a product, we label it “Availability likely” instead.
What does a patent or protection date mean here?
It’s the latest date currently listed in the FDA Orange Book for a patent or exclusivity on the brand product. It can affect when a full generic version becomes widely available — but it is not a guaranteed generic launch date. Generics sometimes arrive earlier (through a settlement or patent challenge) or later (a manufacturer still has to make and sell one).
What does “current Orange Book estimate” mean?
It means we are using the latest patent and exclusivity dates currently listed in the FDA Orange Book. It is not a guaranteed launch date.
Can a generic come out before the last patent expires?
Sometimes. A generic company may challenge a patent, settle with the brand manufacturer, receive a license, or obtain approval with a narrower label that avoids a patented use. In other cases, the last listed protection may delay full-label generic competition.
Can a generic come out after the listed dates?
Yes. Even after patents or exclusivity expire, a generic still needs FDA approval and a manufacturer must choose to market it. Supply, litigation, business decisions, or regulatory issues can delay actual availability.
What is the difference between patents and exclusivity?
Patents are legal protections usually issued by the U.S. Patent and Trademark Office. FDA exclusivity is marketing protection granted by the FDA. They are separate, and either one can affect generic timing.
Why are there multiple patent dates?
One drug can have several patents covering different things: the active ingredient, a formulation, a manufacturing process, or a specific approved use. That is why a page may show several expiration dates instead of one simple generic date.
Built from FDA Orange Book patent and exclusivity data. Dates are refreshed from public FDA data when available; the marker is max(latest patent expiry, latest exclusivity expiry). Paragraph-IV settlements and first-filer 180-day exclusivity can shift the real date; a method-of-use patent may allow an earlier skinny-label generic for non-protected indications. Generic launch timing is an estimate, not a guarantee.
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.

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 5EYA69XGAT
    Hypromellose is a plant-derived thickener and film-former used in medicine coatings and tablets. It helps control how fast the drug dissolves and protects the medicine's contents.
  • UNII 6D4M1DAL6O
    Polyoxyl 35 castor oil is a synthetic compound made by chemically treating castor oil. It works as a solubilizer and emulsifier to help dissolve and evenly mix oily and water-based ingredients in medicines.
  • 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 5QWK665956
    A salt derived from phosphoric acid and sodium, used primarily as a buffer to control the acidity or pH of a medication, helping keep it stable during storage and use.
  • 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.

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

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.

Manufacturer & labeler

LabelerAlcon Laboratories, Inc.
Application holderALCON LABORATORIES INC
FDA applicationNDA217370 (NDA)
Labeler code00065
First marketedJul 2025
Product typeHuman Prescription Drug
Portfolio55 products on file
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.

Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Very long sections are excerpted here and marked; the full text is on DailyMed (linked in the sources below). Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 41 words ▾

1 INDICATIONS AND USAGE TRYPTYR is indicated for the treatment of the signs and symptoms of dry eye disease. TRYPTYR is a TRPM8 thermoreceptor agonist indicated for the treatment of the signs and symptoms of dry eye disease. ( 1 )

⏱️ Dosage and Administration 134 words ▾

2 DOSAGE AND ADMINISTRATION Instill one drop in each eye twice daily (approximately 12 hours apart). ( 2 )

2.1Recommended Dosage Instill one drop in each eye twice daily (approximately 12 hours apart).

2.2Administration Instructions Wash hands before use. The single-dose vials are to be used immediately after opening and can be used to dose both eyes. Discard the single-dose vial, including any remaining contents, immediately after use.

TRYPTYR can be used concomitantly with other topical ophthalmic eye drops. If more than one topical ophthalmic drug is being used, the drugs should be administered at least five (5) minutes apart . Contact lenses should be removed prior to the administration of TRYPTYR and may be reinserted 15 minutes following administration.

If one dose is missed, treatment should continue with the next dose.

💊 Dosage Forms and Strengths 33 words ▾

3 DOSAGE FORMS AND STRENGTHS TRYPTYR is a clear to slightly opalescent, colorless ophthalmic solution containing 0.003% acoltremon in a single-dose vial. Ophthalmic solution: 0.003% acoltremon in a single-dose vial. ( 3 )

⛔ Contraindications 7 words ▾

4 CONTRAINDICATIONS None. None. ( 4 )

⚠️ Warnings and Cautions 95 words ▾

5 WARNINGS AND PRECAUTIONS To avoid the potential for eye injury and contamination, do not touch the vial tip to the eye or other surfaces. ( 5.1 )

5.1Potential for Eye Injury and Contamination To avoid the potential for eye injury and contamination, do not touch the vial tip to the eye or other surfaces.

5.2Use with Contact Lenses TRYPTYR should not be administered while wearing contact lenses. If contact lenses are worn, they should be removed prior to administration of the solution. Lenses may be reinserted 15 minutes following administration of TRYPTYR.

🤒 Adverse Reactions 141 words ▾

6 ADVERSE REACTIONS The most common adverse reaction was instillation site pain (50%). ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Alcon Laboratories, Inc. at 1-800-757-9780, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

6.1Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. In patients with dry eye disease, 766 patients received at least one dose of TRYPTYR in four randomized controlled clinical trials across 71 sites in the United States. The most common ocular adverse reaction observed in controlled clinical studies with TRYPTYR was instillation site pain (50%).

Less than 1% of patients discontinued therapy due to burning or stinging sensation in the eyes.

👥 Use in Specific Populations ~1 min read ▾

8 USE IN SPECIFIC POPULATIONS

8.1Pregnancy Risk Summary There are no adequate and well-controlled studies on TRYPTYR in pregnant women. Systemic exposure to acoltremon from ocular administration is negligible [see Clinical Pharmacology ( 12.3 )] . Intravenous administration of acoltremon to pregnant rats and rabbits during organogenesis did not produce embryofetal toxicity at 806- and 2151-fold the maximum recommended human ocular dose (MRHOD) of acoltremon on a mg/m 2 basis ( see Data ) .

All pregnancies have a risk of birth defect, loss, or other adverse outcomes. In the US general population, the estimated background risk of major birth defects is 2 to 4%, and of miscarriage is 15 to 20%, of clinically recognized pregnancies. Data Animal Data In embryofetal developmental studies in pregnant rats and rabbits dosed by intravenous injection daily during organogenesis from gestation days 6-17 and gestation days 7-19, respectively, no maternal or fetal toxicity was observed at 806- and 2151-fold the MRHOD of acoltremon on a mg/m 2 basis.

8.2Lactation Risk Summary There are no data on the presence of acoltremon in human milk, the effects on the breastfed infant, or the effects on milk production. However, systemic exposure to acoltremon following topical ocular administration is low. The lack of clinical data during lactation precludes a clear determination of the risk of TRYPTYR to an infant during lactation; however, the developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for TRYPTYR.

8.4Pediatric Use The safety and effectiveness of TRYPTYR have not been established in pediatric patients.

8.5Geriatric Use No clinically relevant differences in safety have been observed between elderly and younger patients.

🤰 Pregnancy 160 words ▾

8.1Pregnancy Risk Summary There are no adequate and well-controlled studies on TRYPTYR in pregnant women. Systemic exposure to acoltremon from ocular administration is negligible [see Clinical Pharmacology ( 12.3 )] . Intravenous administration of acoltremon to pregnant rats and rabbits during organogenesis did not produce embryofetal toxicity at 806- and 2151-fold the maximum recommended human ocular dose (MRHOD) of acoltremon on a mg/m 2 basis ( see Data ) .

All pregnancies have a risk of birth defect, loss, or other adverse outcomes. In the US general population, the estimated background risk of major birth defects is 2 to 4%, and of miscarriage is 15 to 20%, of clinically recognized pregnancies. Data Animal Data In embryofetal developmental studies in pregnant rats and rabbits dosed by intravenous injection daily during organogenesis from gestation days 6-17 and gestation days 7-19, respectively, no maternal or fetal toxicity was observed at 806- and 2151-fold the MRHOD of acoltremon on a mg/m 2 basis.

🧒 Pediatric Use 16 words ▾

8.4Pediatric Use The safety and effectiveness of TRYPTYR have not been established in pediatric patients.

🧓 Geriatric Use 17 words ▾

8.5Geriatric Use No clinically relevant differences in safety have been observed between elderly and younger patients.

🧬 Clinical Pharmacology 109 words ▾

12 CLINICAL PHARMACOLOGY

12.1Mechanism of Action Studies in animals suggest that acoltremon, the active substance in TRYPTYR, is an agonist of transient receptor potential melastatin 8 (TRPM8) thermoreceptors. TRPM8 thermoreceptor stimulation has been shown to activate trigeminal nerve signaling leading to increased basal tear production. The exact mechanism of action for TRYPTYR in dry eye disease is unknown.

12.3Pharmacokinetics PK was assessed in 25 patients with dry eye disease receiving TRYPTYR administration (1 drop twice daily) on Days 1, 14, and 90. A total of three (3) (12.0%) had plasma concentrations above 20 pg/mL (the lower limit of quantification), with the highest plasma concentration of 213 pg/mL.

🧬 Mechanism of Action 56 words ▾

12.1Mechanism of Action Studies in animals suggest that acoltremon, the active substance in TRYPTYR, is an agonist of transient receptor potential melastatin 8 (TRPM8) thermoreceptors. TRPM8 thermoreceptor stimulation has been shown to activate trigeminal nerve signaling leading to increased basal tear production. The exact mechanism of action for TRYPTYR in dry eye disease is unknown.

📦 How Supplied / Storage and Handling 152 words ▾

16 HOW SUPPLIED/STORAGE AND HANDLING TRYPTYR (acoltremon ophthalmic solution) 0.003% is supplied as a sterile, clear to slightly opalescent, and colorless solution in a low-density polyethylene (LDPE), single-dose vial with a 0.4 mL fill. One strip of 5 single-dose vials is packaged in a foil pouch with twelve (12) pouches in a carton. NDC 0065-8595-02; Carton of 60 Single-Dose Vials.

Storage Store refrigerated at 2°C to 8°C (36°F to 46°F). After opening the carton, TRYPTYR may be stored refrigerated or at room temperature at 2°C to 25°C (36°F to 77°F). If stored at room temperature, TRYPTYR should be used within 30 days, not to exceed the expiration date printed on the carton and foil pouch.

After opening each foil pouch, the single-dose vials should be used within 7 days, not to exceed the expiration date printed on the vial. Store unopened single-dose vials in the original foil pouch until ready to use.

📋 Description 130 words ▾

11 DESCRIPTION TRYPTYR (acoltremon ophthalmic solution) 0.003% contains an agonist of TRPM8 ion channels. Acoltremon’s chemical name is (1 R ,2 S ,5 R )-2-isopropyl- N -(4-methoxyphenyl)-5-methylcyclohexane-1-carboxamide. The molecular formula of acoltremon is C 18 H 27 NO 2 and has a molecular weight of 289.42 g/mol.

Acoltremon is a white to pale yellow crystalline solid, that is insoluble in water. TRYPTYR is a sterile, clear to slightly opalescent, colorless, isotonic aqueous solution for topical ophthalmic use, with a pH of approximately 7 and an osmolality of 280 to 330 mOsm/kg. Each mL of TRYPTYR contains active: acoltremon 0.003%; and inactives: polyoxyl 35 castor oil, sodium dihydrogen phosphate dihydrate, sodium chloride, hypromellose and purified water.

Additionally, sodium hydroxide is used to adjust pH. TRYPTYR does not contain an anti-microbial preservative.

🧬 Pharmacokinetics 50 words ▾

12.3Pharmacokinetics PK was assessed in 25 patients with dry eye disease receiving TRYPTYR administration (1 drop twice daily) on Days 1, 14, and 90. A total of three (3) (12.0%) had plasma concentrations above 20 pg/mL (the lower limit of quantification), with the highest plasma concentration of 213 pg/mL.

🔬 Clinical Studies ~2 min read ▾

14 CLINICAL STUDIES The efficacy of TRYPTYR for the treatment of dry eye disease was supported by two randomized, multi-center, double-masked, vehicle-controlled studies (COMET-2 [NCT-05285644] and COMET-3 [NCT-05360966]) enrolling a total of 931 dry eye patients (462 of which received TRYPTYR). Patients were randomized to TRYPTYR or vehicle (placebo) in a 1:1 ratio and dosed twice a day for 90 days. Use of artificial tears was not allowed during the studies.

The mean age was 61 years (range, 30-93 years). The majority of patients were female (74.8%). Enrollment criteria included signs (i.e., corneal fluorescein staining score [2-15] and anesthetized Schirmer tear test [2-9 mm]) and symptoms (i.e., SANDE Score [≥ 50] and Ocular Discomfort Score [≥ 50]) of dry eye disease.

Efficacy Tear film production was measured by unanesthetized Schirmer tear test assessed using a Schirmer strip (0 - 35 mm). The average baseline unanesthetized Schirmer scores for TRYPTYR and Vehicle treated patients was 6.2 mm and 5.9 mm in the COMET-2 study, and 6.8 mm and 6.4 mm in the COMET-3 study, respectively. Of the patients treated at Day 14 (primary endpoint) with TRYPTYR, 42.6% achieved ≥ 10 mm increase in Schirmer score from baseline in the COMET-2 study and 53.2% achieved ≥ 10 mm increase in Schirmer score from baseline at Day 14 in the COMET-3 study, compared to 8.2% and 14.4% of vehicle-treated patients in the COMET-2 study and the COMET-3 study, respectively.

A statistically significant improvement in tear production favoring TRYPTYR (p<0.01) was observed in both studies ( Table 1 ). Table 1: Percent of Patients Achieving ≥ 10 mm Improvement from Baseline in Schirmer Score at Day 14 in Patients with Dry Eye Disease Tear Production COMET-2 COMET-3 TRYPTYR N = 230 Vehicle N = 235 TRYPTYR N = 232 Vehicle N = 234 ≥ 10 mm increase in tear production at Day 14 42.6% 8.2% 53.2% 14.4% Difference (95% CI) 34.4% (26.9, 42.0) 38.8% (30.8, 46.8) P-value versus vehicle < 0.01 <

0.01Consistent results were observed at all timepoints through Day 90.

🧪 Nonclinical Toxicology 83 words ▾

13 NONCLINICAL TOXICOLOGY

13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenicity Long term studies in animals have not been performed to evaluate the carcinogenic potential of acoltremon. Mutagenicity Acoltremon was not mutagenic or clastogenic in the standard battery of genotoxicity tests including a bacterial reverse mutation assay, an in vitro chromosomal aberration assay in human peripheral lymphocytes and micronucleus assay in rats. Impairment of Fertility Studies to evaluate the potential effects of acoltremon on male or female fertility in animals have not been performed.

📄 Carcinogenesis, Mutagenesis, Impairment of Fertility 80 words ▾

13.1Carcinogenesis, Mutagenesis, Impairment of Fertility Carcinogenicity Long term studies in animals have not been performed to evaluate the carcinogenic potential of acoltremon. Mutagenicity Acoltremon was not mutagenic or clastogenic in the standard battery of genotoxicity tests including a bacterial reverse mutation assay, an in vitro chromosomal aberration assay in human peripheral lymphocytes and micronucleus assay in rats. Impairment of Fertility Studies to evaluate the potential effects of acoltremon on male or female fertility in animals have not been performed.

📄 Patient Package Insert ~3 min read ▾

INSTRUCTIONS FOR USE SECTION INSTRUCTIONS FOR USE TRYPTYR® [trip’tir] (acoltremon ophthalmic solution) 0.003% for topical ophthalmic use This Instructions for Use contains information on how to use TRYPTYR. Read this Instructions for Use before you start using TRYPTYR and each time you get a refill. There may be new information.

This leaflet does not take the place of talking to your healthcare provider about your medical condition or your treatment. Important Information You Need to Know Before Using TRYPTYR : Use TRYPTYR exactly as your healthcare provider tells you to. TRYPTYR is for use in the eye.

Each single-dose vial of TRYPTYR will give you enough medicine to treat both of your eyes. There is extra TRYPTYR in each single-dose vial in case you miss getting a drop into your eye. Keep the unopened single-dose vials in the original foil package until ready to use.

Wash your hands before each use to make sure you do not infect your eyes. If you use TRYPTYR with other eye medicines, wait at least 5 minutes between using TRYPTYR and the other medicines. If you wear contact lenses, remove them before using TRYPTYR.

Wait 15 minutes after dosing before putting contact lenses back in your eyes. If 1 dose is missed, treatment should continue at the next scheduled time. Use 1 drop of TRYPTYR in each eye 2 times each day.

Use 1 single-dose vial in the morning and another single-dose vial in the evening, approximately 12 hours apart. Do not let the tip of the single-dose vial touch your eye or any other surface to avoid eye injury or infection. Do not use the single-dose vial or the medicine inside it if the tip touches your eye or another surface.

Throw it away. TRYPTYR vial is for 1-time use only. Use right away after opening and do not reuse.

Call your healthcare provider right away if you get an allergic reaction or other eye problems such as eye injury, eye infection, or eye pain. For additional safety information, see the Full Prescribing Information and talk with your healthcare provider. Follow steps 1 to 15 each time you use TRYPTYR Step 1 Remove the unopened carton from the refrigerator (see Figure A).

Check the expiration date printed on the carton. Write the date the carton is first opened in the space provided on the carton. Step 2 Open the carton.

Preparing a single-use vial Step 3 Wash your hands before each use to make sure you do not infect your eyes (see Figure B). Step 4 Take a foil pouch out of the TRYPTYR carton. Write the date the foil pouch is first opened in the space provided.

Tear open the pouch (see Figure C). Step 5 Remove the strip of 5 single-dose vials from the foil pouch (see Figure D). Step 6 Pull off one single-dose vial from the strip (see Figure E).

Place remaining vials back in the carton. Store carton at room temperature or place the carton back in the refrigerator. Step 7 Open the TRYPTYR single-dose vial by twisting off the tab at the top while holding the vial upright (see Figure F).

Do not touch the tip of the single-dose vial or allow it to touch any surface to avoid possible eye infection. Applying a dose of TRYPTYR to your eyes Step 8 Tilt your head backwards. If you are not able to tilt your head, lie down.

Step 9 Gently pull your lower eyelid downwards and look up. Step 10 Place the tip of the TRYPTYR single-dose vial close to your eye. Do not allow the tip of the vial to touch your eye to avoid eye injury or infection.

Step 11 Gently squeeze the single-dose vial and let 1 full drop of TRYPTYR coat your eye (see Figure G and G1 below). If a drop misses your eye, try again. After the drop is in your eye, gently close (do not squeeze) your eye for a few seconds.

Step 12 Repeat Steps 8 through 11 for your other eye. There is enough TRYPTYR in 1 single-dose vial for both eyes. After dosing and disposal instructions Step 13 After you have applied a drop to both eyes, throw away the opened single-dose vial with any remaining solution right away (see Figure H).

Do not reuse vial. Step 14 Wait a… [Excerpted — this section continues on DailyMed.]

📄 Package Label / Principal Display Panel ~1 min read ▾

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL TRYPTYR ® (acoltremon ophthalmic solution) 0.003% 3390 Alcon Lot: Exp.: NDC 0065-8595-02 441121 Rx only TRYPTYR ® (acoltremon ophthalmic solution) 0.003% For topical use in eye Recommended Dosage: Place one drop in each eye twice daily (approximately 12 hours apart). Discard single-dose vial immediately after use. Do not reuse.

Store in foil pouch until ready for use. After opening the foil pouch, TRYPTYR can be stored refrigerated or at room temperature, 2°C to 25°C (36°F to 77°F), and used within 7 days. Date of first opening _____/_____/_____ Contains 5 single-use vials (0.4 mL each) Sterile; Does not contain anti-microbial preservatives Alcon LOT: ####A EXP.: YYYY-MM Manufactured for: Alcon Laboratories, Inc.

Fort Worth, TX 76134 USA NDC 0065-8595-02 Rx only TRYPTYR ® (acoltremon ophthalmic solution) 0.003% For topical application in the eye 60 SINGLE-DOSE VIALS ● 30-Day SUPPLY Does not contain anti-microbial preservatives Sterile Alcon CONTAINS 12 pouches x 5 single-dose vials (0.4 mL each) Each mL contains: Active: acoltremon 0.003% Inactives: polyoxyl 35 castor oil, sodium dihydrogen phosphate dihydrate, sodium chloride, hypromellose, sodium hydroxide to adjust pH, and purified water. STORAGE Store unopened carton in the refrigerator, 2°C to 8°C (36°F to 46°F).

After opening, TRYPTYR can be stored refrigerated or at room temperature up to 30 days in the unopened foil pouch, 2°C to 25°C (36°F to 77°F). Date carton first opened ___/___/___ See additional discard instructions on the pouch. DOSING Recommended Dosage: Place one drop in each eye twice daily (approximately 12 hours apart).

To avoid contamination, do not touch tip of container to any surface. Use one single-dose vial immediately after opening and then discard. Do not reuse.

Please see full Prescribing Information and Instructions for Use, inside carton, for additional dosage, storage and safety information. Manufactured in France for Alcon Laboratories, Inc. Fort Worth, TX 76134 USA Product of India U.S.

Pat.: www.alconpatents.com NDC 0065-8595-02 GTIN: 00300658595027 LOT: ####A EXP.: YYYY-MM SN: 01234567891234 TRYPTYR ® (acoltremon ophthalmic solution) 0.003% 439701

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

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.
12 pouches00065-8595-02 2,285 Rx · $1,969,877
Drug total (last 4 qtrs): 2,285 Rx · 87,768 units · $1,969,877 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Tryptyr — the program that covers self-administered drugs. 1 manufacturer.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Tryptyr. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$5.06M
Claims incl. refills
5.3K
Beneficiaries
3.3K
Spend / beneficiary
$1,549.91
Spend / claim
$956.31
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Acoltremon — the ingredient across all brands.

Top reported reactions

Eye Irritation2,316
Eye Pain765
Vision Blurred345
Dry Eye324
Ocular Hyperaemia323
Ocular Discomfort189
Lacrimation Increased182

Reporter sex

0 reports

Serious outcomes

Death9
Disabling1
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

About this NDC listing & data coverage

Finished prescription product
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 ✓ Available
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.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Alcon Laboratories, Inc.. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 1 other package presentation of this same product, including 12 pouches (00065-8595-02). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
Alcon Laboratories, Inc. is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as a prescription product, so it is dispensed under a prescriber's order. Your pharmacist can tell you whether any over-the-counter forms of the same medication exist.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.