Over-the-counter drug · ANDA
Polyethylene glycol 3350 NDC 0904-6931
Polyethylene glycol 3350 17 g/17g · Powder, For solution · Oral · Major Pharmaceuticals
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0904-6931-26 | 00904693126 | 14 PACKET in 1 CARTON (0904-6931-26) / 17 g in 1 PACKETMarketed from Jun 30, 2019 | |
| 0904-6931-76 | 00904693176 | 30 PACKET in 1 CARTON (0904-6931-76) / 17 g in 1 PACKETMarketed from Jun 30, 2019 | |
| 0904-6931-81 | 00904693181 | 100 PACKET in 1 CARTON (0904-6931-81) / 17 g in 1 PACKETMarketed from Jun 30, 2019 | |
| 0904-6931-86 | 00904693186 | 17 g in 1 PACKET (0904-6931-86)Marketed from Jun 30, 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)
- Polyethylene glycol 3350
- Generic name (nonproprietary)
- polyethylene glycol 3350
- Active ingredients
- Polyethylene glycol 3350 — 17 g/17g
- Dosage form
- Powder, For solution
- Route
- Oral
- Labeler
- Major Pharmaceuticals
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 203928
- Marketing start
- Listing expires
- Other FDA classes
- Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
- Identifiers
- Product ID 0904-6931_d804d78d-bf7c-4ae2-a3a7-d1e7337bbeb8SPL ID d804d78d-bf7c-4ae2-a3a7-d1e7337bbeb8SPL set ID ddc9d2b1-87d8-44fa-bac6-0a7261f33564RxCUI 876193UNII G2M7P15E5PUPC 0309046931263
- 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
N400904693126followed by a unit qualifier and the quantityPackage 00904-6931-26. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under ANDA 203928
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Polyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Cardinal Health 107, LLC | 55154-8091 |
| Polyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Cardinal Health 107, LLC | 55154-8090 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | PIONEER LIFE SCIENCES, LLC | 72090-036 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Cardinal Health 107, LLC | 55154-8184 |
| ez2go Polyethylene Glycol 3350polyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionTopical | Valley Medical Products, LLC | 76470-050 |
| Polyethylene Glycol 3350 Powder for Solutionpolyethylene glycol, unspecified | Polyethylene glycol 3350 17 g/17g | Powder, For solutionTopical | VALLEY MEDICAL PRODUCTS, LLC | 76470-069 |
| Polyethylene Glycol 3350instalax polyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Sun Pharmaceutical Industries, Inc. | 51672-2104 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | GLENMARK THERAPEUTICS INC., USA | 72657-196 |
| Mix-In Laxative Packetspolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Wal-Mart Stores Inc | 49035-906 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | The Fresh Test, LLC | 87362-119 |
| Polyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Cardinal Health 107, LLC | 55154-2328 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | American Health Packaging | 60687-431 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Kesin Pharma Corporation | 81033-762 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Gericare Pharmaceuticals | 57896-490 |