NDC codes

FDA NDC Directory
Product NDC (as listed)17856-0312Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17856-0312Add 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
17856-0312-1178560312011785603120117 g in 1 BAG (17856-0312-1)Marketed from Jan 26, 2021
17856-0312-217856031202178560312028.5 g in 1 BAG (17856-0312-2)Marketed from Jan 26, 2021
17856-0312-3178560312031785603120317 g in 1 CUP (17856-0312-3)Marketed from Jan 26, 2021
17856-0312-417856031204178560312044 g in 1 BAG (17856-0312-4)Marketed from Jan 26, 2021
17856-0312-5178560312051785603120550 CUP in 1 CASE (17856-0312-5) / 8.5 g in 1 CUPMarketed from Jan 26, 2021
17856-0312-6178560312061785603120672 POUCH in 1 CASE (17856-0312-6) / 4.5 g in 1 POUCHMarketed from Jan 26, 2021
17856-0312-7178560312071785603120750 BAG in 1 BOX, UNIT-DOSE (17856-0312-7) / 4.25 g in 1 BAGMarketed from Oct 10, 2023
17856-0312-8178560312081785603120872 BAG in 1 BOX, UNIT-DOSE (17856-0312-8) / 4.25 g in 1 BAGMarketed from Jul 22, 2025
17856-0312-9178560312091785603120950 CUP in 1 BOX, UNIT-DOSE (17856-0312-9) / 4.25 g in 1 CUPMarketed from Jul 22, 2025

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)
Gavilax
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
ATLANTIC BIOLOGICALS CORP.NDC labeler code 17856
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091077
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 17856-0312_3a86670e-4e74-3a85-e063-6394a90ad435SPL ID 3a86670e-4e74-3a85-e063-6394a90ad435SPL set ID c9688f06-b6db-4afb-b8ff-ef5fb8bf9946RxCUI 876193, 876214UNII 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

N417856031201 followed by a unit qualifier and the quantity

Package 17856-0312-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Directions do not take more than directed unless advised by your doctor the bottle top is a measuring cap marked to contain 17 grams of powder when filled to the indicated line. adults and children 17 years of age and older: fill to top of line in cap which is marked to indicate the correct dose (17 g) stir and dissolve in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drink use once a day use no more than 7 days children 16 years of age or under: ask a doctor Other Information store at 20°- 25°C (68°– 77°F) tamper-evident: do not use if printed foil seal under cap is missing, open or broken

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 17856-0312

What is NDC 17856-0312?
17856-0312 is the product NDC for Gavilax (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by ATLANTIC BIOLOGICALS CORP.. It has 9 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Gavilax (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
ATLANTIC BIOLOGICALS CORP., NDC labeler code 17856. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Gavilax?
5 other product NDCs are listed under this name. See all Gavilax 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 Gavilax NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAtlantic Biologicals Corp.17856-031017856-0310-0117856-0310-02
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralLupin Pharmaceuticals,Inc.43386-31243386-0312-0843386-0312-14
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralA-S Medication Solutions50090-531050090-5310-00
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralProficient Rx LP63187-36863187-0368-23
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals, Inc.68788-750868788-7508-02

Other NDCs under ANDA 091077

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

FDA NDC Directory listings under ANDA 091077
ProductStrengthForm · routeLabelerProduct NDC
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAtlantic Biologicals Corp.17856-0310
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralLupin Pharmaceuticals,Inc.43386-312
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralA-S Medication Solutions50090-5310
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralProficient Rx LP63187-368
Gavilaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals, Inc.68788-7508
Polyethylene GlycolPolyethylene glycol 3350 17 g/17gPowder, For suspensionOralBluePoint Laboratories68001-505

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