NDC codes

FDA NDC Directory
Product NDC (as listed)63629-8849Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-8849Add 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
63629-8849-16362988490115 g in 1 BOTTLE (63629-8849-1)Marketed from Sep 20, 2021

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)
Sodium Polystyrene Sulfonate
Generic name (nonproprietary)
sodium polystyrene sulfonate
Active ingredients
Sodium polystyrene sulfonate — 4.1 meq/g
Dosage form
Powder, For suspension
Route
Oral, Rectal
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 204071
Marketing start
Listing expires
Identifiers
Product ID 63629-8849_beecdb86-1fa6-4739-b976-b4227eb671daSPL ID beecdb86-1fa6-4739-b976-b4227eb671daSPL set ID cae5e7d2-c6ca-485e-963e-1a147e5b11c3RxCUI 2101899UNII 1699G8679Z

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N463629884901 followed by a unit qualifier and the quantity

Package 63629-8849-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Sodium polystyrene sulfonate for suspension is indicated for the treatment of hyperkalemia. Limitation of Use : Sodium polystyrene sulfonate for suspension should not be used as an emergency treatment for life-threatening hyperkalemia because of its delayed onset of action [see Clinical Pharmacology (12.2) ] Sodium polystyrene sulfonate for suspension is a potassium binder indicated for the treatment of hyperkalemia ( 1 ). Limitation of Use : Sodium polystyrene sulfonate for suspension should not be used an emergency treatment for life threatening hyperkalemia because of its delayed onset of action ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 204071

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

FDA NDC Directory listings under ANDA 204071
ProductStrengthForm · routeLabelerProduct NDC
Sodium Polystyrene SulfonateSodium polystyrene sulfonate 4.1 meq/gPowder, For suspensionOral, RectalBryant Ranch Prepack71335-2855
Sodium Polystyrene SulfonateSodium polystyrene sulfonate 4.1 meq/gPowder, For suspensionOral, RectalBryant Ranch Prepack63629-8850
Sodium Polystyrene SulfonateSodium polystyrene sulfonate 4.1 meq/gPowder, For suspensionOral, RectalSUNRISE PHARMACEUTICAL, INC.11534-166
Sodium Polystyrene SulfonateSodium polystyrene sulfonate 4.1 meq/gPowder, For suspensionOral, RectalBryant Ranch Prepack63629-2390
Sodium Polystyrene SulfonateSodium polystyrene sulfonate 4.1 meq/gPowder, For suspensionOral, RectalBryant Ranch Prepack72162-1230

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