What is NDC 0904-6320?

0904-6320 is the product NDC for Saline Laxative, Sodium phosphate, Dibasic, Unspecified form 7 g/133mL; Sodium phosphate, Monobasic, Unspecified form 19 g/133mL enema, listed with the FDA by Major Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.

What is the active ingredient?

Sodium phosphate, Dibasic, Unspecified form, Sodium phosphate, Monobasic, Unspecified form.

Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Saline Laxative?

1 other product NDC are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Saline Laxative NDC 0904-6320 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0904-6320Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00904-6320Add 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 NDC	11-digit (billing)	Package	Copy
0904-6320-78	0090463207800904632078	133 mL in 1 BOTTLE (0904-6320-78)Marketed from Jul 11, 2013

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): Saline Laxative
Generic name (nonproprietary): saline laxative
Active ingredients: Sodium phosphate, Dibasic, Unspecified form — 7 g/133mLSodium phosphate, Monobasic, Unspecified form — 19 g/133mL
Dosage form: Enema
Route: Rectal
Labeler: Major PharmaceuticalsNDC labeler code 0904
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 007
Marketing start: Jul 11, 2013
Marketing end: Apr 30, 2027
Identifiers: Product ID 0904-6320_8d595efb-9d1d-48d0-8660-2e83df819c7dSPL ID 8d595efb-9d1d-48d0-8660-2e83df819c7dSPL set ID b3758ffe-1bac-4df6-9714-5e33e9d28d90RxCUI 283100UNII GR686LBA74, 3980JIH2SW

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400904632078 followed by a unit qualifier and the quantity

Package 00904-6320-78. 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 Sep 16, 2025.

Indications (excerpt from the label)

Use ▪ relieves occasional constipation ▪ this product generally produces bowel movement in 1 to 5 minutes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0904-6320

What is NDC 0904-6320?: 0904-6320 is the product NDC for Saline Laxative, Sodium phosphate, Dibasic, Unspecified form 7 g/133mL; Sodium phosphate, Monobasic, Unspecified form 19 g/133mL enema, listed with the FDA by Major Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Saline Laxative.
What is the active ingredient?: Sodium phosphate, Dibasic, Unspecified form, Sodium phosphate, Monobasic, Unspecified form.
Who is the labeler?: Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Saline Laxative?: 1 other product NDC are listed under this name. See all Saline Laxative NDCs.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Saline Laxative NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Saline Laxativesodium phosphate	Sodium phosphate, Dibasic, Unspecified form 7 g/118mL; Sodium phosphate, Monobasic, Unspecified form 19 g/118mL	EnemaRectal	Walgreen Company	0363-0005	00363-0005-3700363-0005-39

Other NDCs under M 007

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

FDA NDC Directory listings under M 007
Product	Strength	Form · route	Labeler	Product NDC
Stool Softenerdocusate sodium	Docusate sodium 100 mg/1	Capsule, Liquid filledOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-938
Glycerin	Glycerin 1 g/1	SuppositoryRectal	Chain Drug Consortium LLC	68016-161
Bisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	CVS Pharmacy	69842-816
Mineral oil	Mineral oil 100 mg/100mL	OilOral	EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)	49035-035
Epsom Saltmagnesium sulfate	Magnesium sulfate, Unspecified 1 g/g	GranuleOral, Topical	Whole Foods Market	42681-6412
Stratuscare Glycerin Laxative Pediatricglycerin	Glycerin 1 g/1	SuppositoryRectal	Stratus Pharmaceuticals	58980-409
Senokotstandardized senna concentrate	Sennosides 8.6 mg/1	TabletOral	Atlantis Consumer Healthcare, Inc.	67618-300
Senna	Sennosides a and b 8.8 mg/5mL	SolutionOral	Rugby Laboratories	0536-1483
Milk Of Magnesia Cherrymagnesium hydroxide	Magnesium hydroxide 1200 mg/15mL	LiquidOral	TOP CARE (TOPCO ASSOCIATES LLC)	36800-684
Epsom Saltmagnesium sulfate	Magnesium sulfate, Unspecified 1 g/g	GranuleOral, Topical	Whole Foods Market	42681-6413
Stratuscare Adult Glyceringlycerin	Glycerin 2 g/1	SuppositoryRectal	Stratus Pharmaceuticals	58980-410
Phillips Fresh Mint Milk Of Magnesia	Magnesium hydroxide 1200 mg/15mL	LiquidOral	Bayer HealthCare LLC.	0280-0031
Senokot-Sstandardized senna concentrate and docusate sodium	Sennosides 8.6 mg/1; Docusate sodium 50 mg/1	TabletOral	Atlantis Consumer Healthcare, Inc.	67618-310
Senexon-Sdocusate sodium 50mg and sennosides 8.6mg	Sennosides 8.6 mg/1; Docusate sodium 50 mg/1	Tablet, Film coatedOral	RUGBY LABORATORIES	0536-1247
Equate Kids Gentle Laxative SCmagnesium hydroxide	Magnesium hydroxide 1200 mg/1	Tablet, ChewableOral	Walmart	79903-252
Stratuscare Bisacodylbisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	Stratus Pharmaceuticals	58980-415
Epsom Saltmagnesium sulfate	Magnesium sulfate heptahydrate 1 g/g	Granule, For solutionOral, Topical	Vi-Jon, LLC	0869-0602
Fleetbisacodyl	Bisacodyl 5 mg/1	Tablet, CoatedOral	C.B. Fleet Company, Inc.	0132-0401
Stool Softenerdocusate sodium	Docusate sodium 100 mg/1	TabletOral	Geri-Care Pharmaceuticals, Corp	57896-421
Stool Softener Extra Strengthdocusate sodium	Docusate sodium 250 mg/1	Capsule, Liquid filledOral	CVS Pharmacy	69842-740

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