NDC codes

FDA NDC Directory
Product NDC (as listed)30142-526Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0526Add 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
30142-526-073014205260730142052607119 g in 1 BOTTLE, PLASTIC (30142-526-07)Marketed from Oct 3, 2022
30142-526-303014205263030142052630510 g in 1 BOTTLE, PLASTIC (30142-526-30)Marketed from Oct 3, 2022

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)
Kroger
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
KROGER COMPANYNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202071
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 30142-526_5a7d8101-1c89-68db-e063-6394a90a84e2SPL ID 5a7d8101-1c89-68db-e063-6394a90a84e2SPL set ID c56271ff-703a-40c4-840f-1962798c9e42RxCUI 876193UNII G2M7P15E5PUPC 0041260017506, 0041260017513
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

N430142052607 followed by a unit qualifier and the quantity

Package 30142-0526-07. 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 30142-526

What is NDC 30142-526?
30142-526 is the product NDC for Kroger (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by KROGER COMPANY. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Kroger (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
KROGER COMPANY, NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Kroger?
1 other product NDC are listed under this name. See all Kroger 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 Kroger NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Krogerhydrocortisone, bacitracin zinc, neomycin sulfate, polymyxin-b sulfate—KitTopicalKroger30142-26630142-0266-01

Other NDCs under ANDA 202071

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

FDA NDC Directory listings under ANDA 202071
ProductStrengthForm · routeLabelerProduct NDC
Discount Drug Martpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDISCOUNT DRUG MART53943-652
Walgreenspolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWALGREEN COMPANY0363-5260
Wincopolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWINCO FOODS67091-447

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