Sodium Polystyrene Sulfonate NDC 63629-8850

NDC codes

FDA NDC Directory

Product NDC (as listed)63629-8850Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63629-8850Add 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
63629-8850-1	63629885001	15 g in 1 BOTTLE (63629-8850-1)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
Labeler: Bryant Ranch Prepack
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 204071
Marketing start: Jan 24, 2017
Listing expires: Dec 31, 2026
Identifiers: Product ID 63629-8850_bf79bd20-84eb-4fbf-be2b-f69e0a02563fSPL ID bf79bd20-84eb-4fbf-be2b-f69e0a02563fSPL set ID fe1eaaea-0697-4790-8f14-b9db08d42257RxCUI 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

N463629885001 followed by a unit qualifier and the quantity

Package 63629-8850-01. 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 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
Product	Strength	Form · route	Labeler	Product NDC
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral, Rectal	Bryant Ranch Prepack	71335-2855
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral, Rectal	Bryant Ranch Prepack	63629-8849
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral, Rectal	SUNRISE PHARMACEUTICAL, INC.	11534-166
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral, Rectal	Bryant Ranch Prepack	63629-2390
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral, Rectal	Bryant Ranch Prepack	72162-1230