Over-the-counter drug · ANDA

laxative (Polyethylene glycol 3350) NDC 11822-1199

Polyethylene glycol 3350 17 g/17g · Powder, For solution · Oral · Rite Aid Corporation

NDC codes

FDA NDC Directory
Product NDC (as listed)11822-1199Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-1199Add 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
11822-1199-01182211990011822119900238 g in 1 BOTTLE (11822-1199-0)Marketed from Jan 18, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
laxative
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
Rite Aid CorporationNDC labeler code 11822
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 11822-1199_6f2cba14-d766-4d2a-8d9c-0463963d882fSPL ID 6f2cba14-d766-4d2a-8d9c-0463963d882fSPL set ID 3ebe9191-8e0a-41cf-b759-82ecce4f50e4RxCUI 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

N411822119900 followed by a unit qualifier and the quantity

Package 11822-1199-00. 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 11822-1199

What is NDC 11822-1199?
11822-1199 is the product NDC for laxative (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
laxative (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for laxative?
30 other product NDCs are listed under this name. See all 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 laxative NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
LaxativeDeacetylbisacodyl 5 mg/1Tablet, Sugar coatedOralAllegiant Health69168-48969168-0489-0369168-0489-3269168-0489-92
LaxativesennosidesSennosides 8.6 mg/1TabletOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-65955910-0659-10
LaxativebisacodylBisacodyl 5 mg/1Tablet, Delayed releaseOralHHH Pharmaceuticals83586-11683586-0116-01
Laxativesennosides, 25 mgSennosides 25 mg/1Tablet, Film coatedOralGranulation Technology, Inc.63561-018663561-0186-0263561-0186-09
LaxativebisacodylBisacodyl 5 mg/1TabletOralBi-Mart37835-24137835-0241-01
LaxativebisacodylBisacodyl 5 mg/1Tablet, Delayed releaseOralMeijer Distribution, Inc.79481-676079481-6760-01
LaxativebisacodylBisacodyl 5 mg/1Tablet, Delayed releaseOralAdvanced Rx LLC80513-40980513-0409-20
LaxativesennosidesSennosides 25 mg/1Tablet, Film coatedOralRite Aid Corporation11822-077311822-0773-0811822-0773-09
LaxativesennosidesSennosides 25 mg/1Tablet, Film coatedOralMeijer Distribution, Inc.79481-773079481-7730-0279481-7730-08
LaxativebisacodylBisacodyl 5 mg/1Tablet, Delayed releaseOralWinCo Foods, LLC67091-45267091-0452-24

All 31 laxative NDCs

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
basic care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-020
basic care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-499
berkley and jensen clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBJWC68391-306
care one clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerican Sales Company41520-306
careone clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralRetail Business Services, LLC72476-723
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralH E B37808-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer Distribution Inc41250-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralHyVee Inc42507-306
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSafeway21130-637
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPublix Super Markets Inc56062-306
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralH E B59640-797
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-033
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-471
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer, Inc.79481-0090
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp, LLC55910-306
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp Inc55910-846
Dulcolaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowderOralChattem, Inc.41167-0223
equaline clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralUnited Natural Foods, Inc. dba UNFI41163-306
equate clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWal-Mart Stores Inc49035-306
Equate ClearLAXpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWALMART INC.79903-114

Showing 20 of 39.

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