NDC codes

FDA NDC Directory
Product NDC (as listed)53943-652Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53943-0652Add 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
53943-652-145394306521453943065214238 g in 1 BOTTLE, PLASTIC (53943-652-14)Marketed from Apr 17, 2023
53943-652-305394306523053943065230510 g in 1 BOTTLE, PLASTIC (53943-652-30)Marketed from Apr 17, 2023

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)
Discount Drug Mart
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
DISCOUNT DRUG MARTNDC labeler code 53943
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 53943-652_4d709cd7-ecb0-45e6-9625-bb9a36459a8eSPL ID 4d709cd7-ecb0-45e6-9625-bb9a36459a8e
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

N453943065214 followed by a unit qualifier and the quantity

Package 53943-0652-14. 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 53943-652

What is NDC 53943-652?
53943-652 is the product NDC for Discount Drug Mart (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by DISCOUNT DRUG MART. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Discount Drug Mart (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
DISCOUNT DRUG MART, NDC labeler code 53943. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Discount Drug Mart?
12 other product NDCs are listed under this name. See all Discount Drug Mart 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 Discount Drug Mart NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Discount Drug Martbenzalkonium chlorideBenzalkonium chloride 130 mg/100mLLiquidTopicalApollo Health and Beauty Care63148-14663148-0146-1163148-0146-52
Discount Drug Martcough drops mentholMenthol 5.4 mg/1LozengeOralDISCOUNT DRUG MART53943-10253943-0102-30
Discount Drug Martcough drops honey lemonMenthol 7.5 mg/1LozengeOralDISCOUNT DRUG MART53943-15053943-0150-3053943-0150-80
Discount Drug Martcough drops cherryMenthol 5.8 mg/1LozengeOralDISCOUNT DRUG MART53943-20253943-0202-3053943-0202-80
Discount Drug Martcough drops cherryMenthol 5.8 mg/1LozengeOralDISCOUNT DRUG MART53943-20853943-0208-30
Discount Drug Martcough drops mentholMenthol 5.4 mg/1LozengeOralDISCOUNT DRUG MART53943-20953943-0209-30
Discount Drug Martcough drops honey lemonMenthol 7.5 mg/1LozengeOralDISCOUNT DRUG MART53943-21153943-0211-30
Discount Drug Martcough drops vitamin c sugar-freeMenthol 2.7 mg/1LozengeOralDISCOUNT DRUG MART53943-50953943-0509-25
Discount Drug Martcough drops mentholMenthol 5.4 mg/1LozengeOralXiamen Kang Zhongyuan Biotechnology Co., Ltd.83698-10283698-0102-30
Discount Drug Martcough drops honey lemonMenthol 7.5 mg/1LozengeOralXiamen Kang Zhongyuan Biotechnology Co., Ltd.83698-15083698-0150-3083698-0150-80

All 13 Discount Drug Mart NDCs

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
Krogerpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKROGER COMPANY30142-526
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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