Prescription drug · NDA
SUPREP Bowel Prep NDC 52268-112
sodium sulfate, potassium sulfate, magnesium sulfate · Sodium sulfate 13.13 g/133.1mL + 2 more ingredients · Solution, Concentrate · Oral · Braintree Laboratories, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 52268-112-01 | 5226801120152268011201 | 2 BOTTLE, PLASTIC in 1 CARTON (52268-112-01) / 133.1 mL in 1 BOTTLE, PLASTICMarketed from Jan 5, 2021 |
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 — 13.13 g/133.1mLPotassium sulfate — 2.35 g/133.1mLMagnesium sulfate, Unspecified form — 1.2 g/133.1mL
- 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 52268-112_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
N452268011201followed by a unit qualifier and the quantityPackage 52268-0112-01. 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 52268-112
- What is NDC 52268-112?
- 52268-112 is the product NDC for SUPREP Bowel Prep, Sodium sulfate 13.13 g/133.1mL + 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.
Related NDCs: other SUPREP Bowel Prep products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 17.5 g/mL + 2 more ingredients | Solution, ConcentrateOral | Azurity Pharmaceuticals, Inc. | 24338-175 | 24338-0175-01 |
| SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 13.13 g/133.1mL + 2 more ingredients | Solution, ConcentrateOral | Azurity Pharmaceuticals, Inc. | 24338-177 | 24338-0177-01 |
| SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 17.5 g/mL + 2 more ingredients | Solution, ConcentrateOral | Braintree Laboratories, Inc. | 52268-012 | 52268-0012-01 |
Other NDCs under NDA 022372
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 |
|---|---|---|---|---|
| Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 17.5 g/mL + 2 more ingredients | Solution, ConcentrateOral | Affordable Pharmaceuticals, LLC | 10572-012 |
| Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 13.13 g/133.1mL + 2 more ingredients | Solution, ConcentrateOral | Affordable Pharmaceuticals, LLC | 10572-112 |
| Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 17.5 g/mL + 2 more ingredients | Solution, ConcentrateOral | Wilshire Pharmaceuticals, Inc. | 52536-175 |
| Sodium Sulfate, Potassium Sulfate And Magnesium Sulfatesodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 13.13 g/133.1mL + 2 more ingredients | Solution, ConcentrateOral | Wilshire Pharmaceuticals, Inc. | 52536-177 |
| SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 17.5 g/mL + 2 more ingredients | Solution, ConcentrateOral | Azurity Pharmaceuticals, Inc. | 24338-175 |
| SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 13.13 g/133.1mL + 2 more ingredients | Solution, ConcentrateOral | Azurity Pharmaceuticals, Inc. | 24338-177 |
| SUPREP Bowel Prepsodium sulfate, potassium sulfate, magnesium sulfate | Sodium sulfate 17.5 g/mL + 2 more ingredients | Solution, ConcentrateOral | Braintree Laboratories, Inc. | 52268-012 |