NDC codes

FDA NDC Directory
Product NDC (as listed)58602-910Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58602-0910Add 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
58602-910-015860209100158602091001119 g in 1 BOTTLE (58602-910-01)Marketed from Sep 28, 2026
58602-910-025860209100258602091002238 g in 1 BOTTLE (58602-910-02)Marketed from Sep 28, 2026
58602-910-035860209100358602091003510 g in 1 BOTTLE (58602-910-03)Marketed from Sep 28, 2026
58602-910-355860209103558602091035578 g in 1 BOTTLE (58602-910-35)Marketed from Sep 28, 2026
58602-910-365860209103658602091036765 g in 1 BOTTLE (58602-910-36)Marketed from Sep 28, 2026
58602-910-37586020910375860209103710 PACKET in 1 CARTON (58602-910-37) / 17 g in 1 PACKETMarketed from Sep 28, 2026
58602-910-38586020910385860209103820 PACKET in 1 CARTON (58602-910-38) / 17 g in 1 PACKETMarketed from Sep 28, 2026

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)
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
Aurohealth LLCNDC labeler code 58602
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209017
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 58602-910_2a3ef673-418e-45d2-b17b-50d28e172333SPL ID 2a3ef673-418e-45d2-b17b-50d28e172333
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

N458602091001 followed by a unit qualifier and the quantity

Package 58602-0910-01. 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 58602-910

What is NDC 58602-910?
58602-910 is the product NDC for Polyethylene Glycol 3350, Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Aurohealth LLC. It has 7 package NDCs, 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?
Aurohealth LLC, NDC labeler code 58602. 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
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralL.N.K. International, Inc.50844-77250844-0772-0150844-0772-0350844-0772-09+7 more
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralThe Fresh Test, LLC87362-11987362-0119-01
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurobindo Pharma Limited84386-12584386-0125-0884386-0125-1484386-0125-24+1 more
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/1Powder, For solutionOralYYBA Corp73581-91373581-0913-40
Polyethylene Glycol 3350instalax polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSun Pharmaceutical Industries, Inc.51672-210451672-2104-0351672-2104-0551672-2104-09
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKesin Pharma Corporation81033-76281033-0762-0181033-0762-1481033-0762-30
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralNorthStar Rx LLC72603-30272603-0302-0272603-0302-0372603-0302-04
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPIONEER LIFE SCIENCES, LLC72090-03672090-0036-0172090-0036-0272090-0036-03
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCARDINAL HEALTH 110, LLC. DBA LEADER70000-069970000-0699-02
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralGLENMARK THERAPEUTICS INC., USA72657-19672657-0196-16

All 30 Polyethylene Glycol 3350 NDCs

Other NDCs under ANDA 209017

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

FDA NDC Directory listings under ANDA 209017
ProductStrengthForm · routeLabelerProduct NDC
365 WHOLE FOODS MARKET Polyethylene Glycol 3350polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWhole Foods Market, Inc.42681-0059
Comfortlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralFamily Dollar Stores, LLC55319-056
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurohealth LLC58602-805
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCARDINAL HEALTH 110, LLC. DBA LEADER70000-0699
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurobindo Pharma Limited84386-125

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