NDC codes

FDA NDC Directory
Product NDC (as listed)67091-447Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67091-0447Add 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
67091-447-086709104470867091044708238 g in 1 BOTTLE, PLASTIC (67091-447-08)Marketed from Aug 21, 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)
Winco
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
WINCO FOODSNDC labeler code 67091
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 67091-447_57a2d3da-388a-437e-9ea3-9e3aef12a0dfSPL ID 57a2d3da-388a-437e-9ea3-9e3aef12a0dfSPL set ID d649f758-a46f-4864-8718-878ee5a74bfcRxCUI 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

N467091044708 followed by a unit qualifier and the quantity

Package 67091-0447-08. 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)

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 67091-447

What is NDC 67091-447?
67091-447 is the product NDC for Winco (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by WINCO FOODS. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Winco (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
WINCO FOODS, NDC labeler code 67091. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Winco?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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
Discount Drug Martpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDISCOUNT DRUG MART53943-652
Krogerpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKROGER COMPANY30142-526
Walgreenspolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWALGREEN COMPANY0363-5260

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