Overview

Active ingredients: Sodium chloride, Sodium gluconate, Sodium acetate, Potassium chloride, Magnesium chloride. Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name
Sodium Chloride, Sodium Gluconate, Sodium Acetate, Potassium Chloride, and Magnesium Chloride
Strengths
Sodium chloride .53 g/100mL; Sodium gluconate .5 g/100mL; Sodium acetate .37 g/100mL; Potassium chloride .037 g/100mL; Magnesium chloride .03 g/100mL
Dosage forms
Irrigant
Routes
Irrigation
Drug classes (FDA established)
Osmotic Laxative, Calculi Dissolution Agent, Potassium Salt
HCPCS / J-code
None in Med-Code's directory for these products
Package NDCs
1

NDC codes

Newest listings first. Each row links to the product’s NDC page.

Physiolyte NDC Codes: finished products
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)HCPCS
Physiolytesodium chloride, sodium gluconate, sodium acetate, potassium chloride, and magnesium chlorideSodium chloride .53 g/100mL + 4 more ingredientsIrrigantIrrigationB. Braun Medical Inc.0264-220500264-2205-00—

Physiolyte: common questions

What is the NDC for Physiolyte?
Physiolyte has 1 product NDC, one for each strength, dosage form and labeler; each product NDC then has one package NDC per package size. Pick the row for your product above to see its package NDCs.
Is there a J-code for Physiolyte?
Med-Code's curated HCPCS directory has no drug-specific code for these products. Drugs dispensed by a pharmacy are billed by NDC. NDC vs J-code.
Which NDC goes on a claim?
The package NDC of what was given, in 11-digit form. How to convert a 10-digit NDC.

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Physiolyte NDC Codes & NDC Number | Med-Code