Sutab NDC 52268-201

NDC codes

FDA NDC Directory

Product NDC (as listed)52268-201Labeler and product segments. Claims need a package NDC.

Product NDC at billing width52268-0201Add 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 NDC	11-digit (billing)	Package	Copy
52268-201-01	52268020101	2 BOTTLE, PLASTIC in 1 KIT (52268-201-01) / 12 TABLET in 1 BOTTLE, PLASTICMarketed from Nov 10, 2020

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): Sutab
Generic name (nonproprietary): sodium sulfate, magnesium sulfate, and potassium chloride
Active ingredients: Sodium sulfate — 17.75 g/1Magnesium sulfate anhydrous — 2.7 g/1Potassium chloride — 2.25 g/1
Dosage form: Tablet
Route: Oral
Labeler: Braintree Laboratories, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 213135
Marketing start: Nov 10, 2020
Listing expires: Dec 31, 2026
Other FDA classes: 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 Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 52268-201_093f5259-d407-4295-e063-6294a90abb17SPL ID 093f5259-d407-4295-e063-6294a90abb17SPL set ID dddd2701-4d46-44de-a9f8-303d4dcceef7UNII 0YPR65R21J, ML30MJ2U7I, 660YQ98I10
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

N452268020101 followed by a unit qualifier and the quantity

Package 52268-0201-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 213135

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

FDA NDC Directory listings under NDA 213135
Product	Strength	Form · route	Labeler	Product NDC
Sutabsodium sulfate, magnesium sulfate, and potassium chloride	Sodium sulfate 17.75 g/1 + 2 more ingredients	TabletOral	Azurity Pharmaceuticals, Inc.	24338-201