What is NDC 55154-8090?

55154-8090 is the product NDC for Polyethylene glycol 3350, Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Cardinal Health 107, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

Cardinal Health 107, LLC, NDC labeler code 55154. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Polyethylene glycol 3350?

29 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Polyethylene glycol 3350 NDC 55154-8090

NDC codes

FDA NDC Directory

Product NDC (as listed)55154-8090Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55154-8090Add 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
55154-8090-5	5515480900555154809005	5 POUCH in 1 BAG (55154-8090-5) / 17 g in 1 POUCHMarketed from Jun 30, 2019

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Polyethylene glycol 3350
Generic name (nonproprietary): polyethylene glycol 3350
Active ingredients: Polyethylene glycol 3350 — 17 g/17g
Dosage form: Powder, For solution
Route: Oral
Labeler: Cardinal Health 107, LLCNDC labeler code 55154
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 203928
Marketing start: Jun 30, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 55154-8090_54341b32-d471-4e7c-bce4-5dd5de8a37caSPL ID 54341b32-d471-4e7c-bce4-5dd5de8a37caSPL set ID 2f5c975f-0d35-4f68-a27c-28af9a898733RxCUI 876193UNII G2M7P15E5P
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

N455154809005 followed by a unit qualifier and the quantity

Package 55154-8090-05. 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 Oct 13, 2026.

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 55154-8090

What is NDC 55154-8090?: 55154-8090 is the product NDC for Polyethylene glycol 3350, Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Cardinal Health 107, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Polyethylene glycol 3350.
What is the active ingredient?: Polyethylene glycol 3350.
Who is the labeler?: Cardinal Health 107, LLC, NDC labeler code 55154. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Polyethylene glycol 3350?: 29 other product NDCs are listed under this name. See all Polyethylene glycol 3350 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 Polyethylene glycol 3350 NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Aurohealth LLC	58602-910	58602-0910-0158602-0910-0258602-0910-03+4 more
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	L.N.K. International, Inc.	50844-772	50844-0772-0150844-0772-0350844-0772-09+7 more
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	The Fresh Test, LLC	87362-119	87362-0119-01
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Aurobindo Pharma Limited	84386-125	84386-0125-0884386-0125-1484386-0125-24+1 more
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/1	Powder, For solutionOral	YYBA Corp	73581-913	73581-0913-40
Polyethylene Glycol 3350instalax polyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Sun Pharmaceutical Industries, Inc.	51672-2104	51672-2104-0351672-2104-0551672-2104-09
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Kesin Pharma Corporation	81033-762	81033-0762-0181033-0762-1481033-0762-30
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	NorthStar Rx LLC	72603-302	72603-0302-0272603-0302-0372603-0302-04
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	PIONEER LIFE SCIENCES, LLC	72090-036	72090-0036-0172090-0036-0272090-0036-03
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	CARDINAL HEALTH 110, LLC. DBA LEADER	70000-0699	70000-0699-02

All 30 Polyethylene glycol 3350 NDCs

Other NDCs under ANDA 203928

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

FDA NDC Directory listings under ANDA 203928
Product	Strength	Form · route	Labeler	Product NDC
ez2go Polyethylene Glycol 3350polyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionTopical	Valley Medical Products, LLC	76470-050
Mix-In Laxative Packetspolyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Wal-Mart Stores Inc	49035-906
Polyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Major Pharmaceuticals	0904-6931
Polyethylene Glycol 3350instalax polyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Sun Pharmaceutical Industries, Inc.	51672-2104
Polyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Cardinal Health 107, LLC	55154-2328
Polyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Cardinal Health 107, LLC	55154-8091
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Cardinal Health 107, LLC	55154-8184
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Gericare Pharmaceuticals	57896-490
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	American Health Packaging	60687-431
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	PIONEER LIFE SCIENCES, LLC	72090-036
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	GLENMARK THERAPEUTICS INC., USA	72657-196
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Kesin Pharma Corporation	81033-762
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	The Fresh Test, LLC	87362-119
Polyethylene Glycol 3350 Powder for Solutionpolyethylene glycol, unspecified	Polyethylene glycol 3350 17 g/17g	Powder, For solutionTopical	VALLEY MEDICAL PRODUCTS, LLC	76470-069