NDC codes

FDA NDC Directory
Product NDC (as listed)52268-012Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52268-0012Add 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
52268-012-0152268001201522680012012 BOTTLE, PLASTIC in 1 CARTON (52268-012-01) / 177.4 mL in 1 BOTTLE, PLASTICMarketed from Aug 5, 2010

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)
SUPREP Bowel Prep
Generic name (nonproprietary)
sodium sulfate, potassium sulfate, magnesium sulfate
Active ingredients
Sodium sulfate — 17.5 g/mLPotassium sulfate — 3.13 g/mLMagnesium sulfate, Unspecified form — 1.6 g/mL
Dosage form
Solution, Concentrate
Route
Oral
Labeler
Braintree Laboratories, Inc.NDC labeler code 52268
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022372
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)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange 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 52268-012_5d537ee4-dc8c-32dd-e063-6294a90a4fbeSPL ID 5d537ee4-dc8c-32dd-e063-6294a90a4fbe
Pharmacologic class
Calculi Dissolution Agent; 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

N452268001201 followed by a unit qualifier and the quantity

Package 52268-0012-01. 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 52268-012

What is NDC 52268-012?
52268-012 is the product NDC for SUPREP Bowel Prep, Sodium sulfate 17.5 g/mL + 2 more ingredients solution, concentrate, listed with the FDA by Braintree Laboratories, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
SUPREP Bowel Prep (Sodium sulfate, potassium sulfate, magnesium sulfate).
What is the active ingredient?
Sodium sulfate, Potassium sulfate, Magnesium sulfate, Unspecified form.
Who is the labeler?
Braintree Laboratories, Inc., NDC labeler code 52268. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for SUPREP Bowel Prep?
3 other product NDCs are listed under this name. See all SUPREP Bowel Prep 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 SUPREP Bowel Prep NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 17.5 g/mL + 2 more ingredientsSolution, ConcentrateOralAzurity Pharmaceuticals, Inc.24338-17524338-0175-01
SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 13.13 g/133.1mL + 2 more ingredientsSolution, ConcentrateOralAzurity Pharmaceuticals, Inc.24338-17724338-0177-01
SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 13.13 g/133.1mL + 2 more ingredientsSolution, ConcentrateOralBraintree Laboratories, Inc.52268-11252268-0112-01

Other NDCs under NDA 022372

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

FDA NDC Directory listings under NDA 022372
ProductStrengthForm · routeLabelerProduct NDC
Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 17.5 g/mL + 2 more ingredientsSolution, ConcentrateOralAffordable Pharmaceuticals, LLC10572-012
Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 13.13 g/133.1mL + 2 more ingredientsSolution, ConcentrateOralAffordable Pharmaceuticals, LLC10572-112
Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 17.5 g/mL + 2 more ingredientsSolution, ConcentrateOralWilshire Pharmaceuticals, Inc.52536-175
Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 13.13 g/133.1mL + 2 more ingredientsSolution, ConcentrateOralWilshire Pharmaceuticals, Inc.52536-177
SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 17.5 g/mL + 2 more ingredientsSolution, ConcentrateOralAzurity Pharmaceuticals, Inc.24338-175
SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 13.13 g/133.1mL + 2 more ingredientsSolution, ConcentrateOralAzurity Pharmaceuticals, Inc.24338-177
SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfateSodium sulfate 13.13 g/133.1mL + 2 more ingredientsSolution, ConcentrateOralBraintree Laboratories, Inc.52268-112

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in