Prescription drug · NDA AUTHORIZED GENERIC
PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride NDC 10572-302
Polyethylene glycol 3350 420 g/4L + 3 more ingredients · Powder, For solution · Oral · Affordable Pharmaceuticals, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 10572-302-01 | 1057203020110572030201 | 4 L in 1 BOTTLE (10572-302-01)Marketed from Mar 1, 2013 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride
- Generic name (nonproprietary)
- polyethylene glycol 3350, sodium chloride, sodium bicarbonate, potassium chloride
- Active ingredients
- Polyethylene glycol 3350 — 420 g/4LSodium chloride — 11.2 g/4LSodium bicarbonate — 5.72 g/4LPotassium chloride — 1.48 g/4L
- Dosage form
- Powder, For solution
- Route
- Oral
- Labeler
- Affordable Pharmaceuticals, LLCNDC labeler code 10572
- Product type
- Prescription drug
- Marketing category
- NDA authorized genericApplication NDA 019797
- Marketing start
- Marketing end
- Other FDA classes
- Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
- Identifiers
- Product ID 10572-302_5d535195-2290-7fa9-e063-6394a90a30d5SPL ID 5d535195-2290-7fa9-e063-6394a90a30d5
- Pharmacologic class
- Osmotic Laxative; Potassium Salt
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
N410572030201followed by a unit qualifier and the quantityPackage 10572-0302-01. 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
The FDA listing for this product does not reference a label (SPL) set.
About NDC 10572-302
- What is NDC 10572-302?
- 10572-302 is the product NDC for PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride, Polyethylene glycol 3350 420 g/4L + 3 more ingredients powder, for solution, listed with the FDA by Affordable Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride (Polyethylene glycol 3350, sodium chloride, sodium bicarbonate, potassium chloride).
- What is the active ingredient?
- Polyethylene glycol 3350, Sodium chloride, Sodium bicarbonate, Potassium chloride.
- Who is the labeler?
- Affordable Pharmaceuticals, LLC, NDC labeler code 10572. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride?
- 1 other product NDC are listed under this name. See all PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other PEG-3350, sodium chloride, sodium bicarbonate and potassium chloride products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| PEG 3350, sodium chloride, sodium bicarbonate and potassium chloridepolyethylene glycol 3350, sodium chloride, sodium bicarbonate, potassium chloride | Polyethylene glycol 3350 420 g/4L + 3 more ingredients | Powder, For solutionOral | Wilshire Pharmaceuticals, Inc. | 52536-302 | 52536-0302-01 |
Other NDCs under NDA 019797
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 |
|---|---|---|---|---|
| PEG 3350, sodium chloride, sodium bicarbonate and potassium chloridepolyethylene glycol 3350, sodium chloride, sodium bicarbonate, potassium chloride | Polyethylene glycol 3350 420 g/4L + 3 more ingredients | Powder, For solutionOral | Wilshire Pharmaceuticals, Inc. | 52536-302 |