NDC codes

FDA NDC Directory
Product NDC (as listed)0363-0306Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-0306Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0363-0306-020036303060200363030602238 g in 1 BOTTLE (0363-0306-02)Marketed from Oct 9, 2009
0363-0306-030036303060300363030603510 g in 1 BOTTLE (0363-0306-03)Marketed from Oct 9, 2009
0363-0306-090036303060900363030609765 g in 1 BOTTLE (0363-0306-09)Marketed from Apr 10, 2015
0363-0306-190036303061900363030619595 g in 1 BOTTLE (0363-0306-19)Marketed from Dec 14, 2024
0363-0306-52003630306520036303065210 POUCH in 1 CARTON (0363-0306-52) / 17 g in 1 POUCH (0363-0306-00)Marketed from Apr 27, 2010
0363-0306-60003630306600036303066020 POUCH in 1 CARTON (0363-0306-60) / 17 g in 1 POUCH (0363-0306-00)Marketed from May 28, 2019

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
smooth lax
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
Walgreen CompanyNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090685
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 0363-0306_c677ed05-f149-4430-baba-d65b43cd1828SPL ID c677ed05-f149-4430-baba-d65b43cd1828SPL set ID 3027af65-2f7f-472d-83f5-254d5d75013cRxCUI 876193UNII G2M7P15E5P
Pharmacologic class
Osmotic Laxative

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400363030602 followed by a unit qualifier and the quantity

Package 00363-0306-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Use • relieves occasional constipation (irregularity) • generally produces a bowel movement in 1 to 3 days

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-0306

What is NDC 0363-0306?
0363-0306 is the product NDC for smooth lax (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Walgreen Company. It has 6 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
smooth lax (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for smooth lax?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 090685

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 090685
ProductStrengthForm · routeLabelerProduct NDC
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp, LLC55910-306
good neighbor pharmacy clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-805
equaline clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralUnited Natural Foods, Inc. dba UNFI41163-306
Members Mark clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSam's West Inc68196-306
berkley and jensen clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBJWC68391-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer Distribution Inc41250-306
MiraLAX Orange Flavorpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBayer HealthCare LLC.11523-0122
Good Neighbor Pharmacy ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-014
Exchange Select ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralArmy & Air Force Exchange Service55301-306
Good Sense Clear Laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals Inc.68788-8795
kirkland signature laxaclear original prescription strengthpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCostco Wholesale Company63981-306
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy59779-306
gentle laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKroger Company30142-306
Topcare ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralTopco Associates LLC76162-119
rugby PEG 3350polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBryant Ranch Prepack72162-2155
signature care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSafeway21130-847
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy69842-458
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBryant Ranch Prepack72162-2172
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-471
Gentlelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKroger Company30142-504

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