NDC codes

FDA NDC Directory
Product NDC (as listed)67777-430Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0430Add 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
67777-430-01677770430016777704300148 BOX in 1 CASE (67777-430-01) / 1 BOTTLE in 1 BOX (67777-430-02) / 133 mL in 1 BOTTLEMarketed from Feb 26, 2021

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)
4718 Enema, Mineral Oil
Generic name (nonproprietary)
4718 enema, mineral oil
Active ingredients
Mineral oil — 133 g/133mL
Dosage form
Enema
Route
Rectal
Labeler
DynarexNDC labeler code 67777
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
Marketing start
Listing expires
Identifiers
Product ID 67777-430_27596c71-a1ec-2f3c-e063-6394a90a8d6dSPL ID 27596c71-a1ec-2f3c-e063-6394a90a8d6dSPL set ID 9e51c852-9477-5cf5-e053-2a95a90a97dbRxCUI 205121UNII T5L8T28FGP

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

N467777043001 followed by a unit qualifier and the quantity

Package 67777-0430-01. 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)

Uses For relief of occasional constipation. This product generally produces bowel movement in 2 to 15 minutes.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67777-430

What is NDC 67777-430?
67777-430 is the product NDC for 4718 Enema, Mineral Oil, Mineral oil 133 g/133mL enema, listed with the FDA by Dynarex. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
4718 Enema, Mineral Oil.
What is the active ingredient?
Mineral oil.
Who is the labeler?
Dynarex, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for 4718 Enema, Mineral Oil?
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 M 007

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

FDA NDC Directory listings under M 007
ProductStrengthForm · routeLabelerProduct NDC
365 Whole Foods Market Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalWhole Foods Market, Inc.42681-0060
Acetaminophenextra strength pain reliefAcetaminophen 500 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5239
Alcohol wet wipesAlcohol 75 mL/100mLDressingTopicalShandong Aishule Hygiene Products Co., Ltd82061-006
Amazon Fiber Capletscalcium polycarbophilCalcium polycarbophil 625 mg/1Tablet, Film coatedOralAMAZON.COM SERVICES LLC72288-201
Amazon Fiber TherapymethylcelluloseMethylcellulose (4000 mpa.s) 500 mg/1TabletOralAMAZON.COM SERVICES LLC72288-122
Anecream 5lidocaine 5%Lidocaine 5 g/100gCreamTopicalFocus Health Group24357-702
basic care stool softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-486
Best Choicecalcium polycarbophilCalcium polycarbophil 625 mg/1Tablet, Film coatedOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-023
Best Choice Fiber Laxativepsyllium huskPsyllium husk .52 g/1CapsuleOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-119
Best Choice Fiber TherapymethylcelluloseMethylcellulose (4000 mpa.s) 500 mg/1TabletOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-122
Best Choice Fiber Therapy Orange Flavorpsyllium huskPsyllium husk 3.4 g/12gPowderOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-513
Best Choice Fiber Therapy original coarsepsyllium huskPsyllium husk 3.4 g/7gPowderOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-511
BisacodylBisacodyl 10 mg/1SuppositoryRectalPadagis US LLC0574-7050
BisacodylBisacodyl 10 mg/1SuppositoryRectalMajor Pharmaceuticals0904-7142
BisacodylbiscodylBisacodyl 5 mg/1Tablet, CoatedOralTARGET CORPORATION11673-182
BisacodylBisacodyl 5 mg/1Tablet, CoatedOralKROGER COMPANY41226-003
BisacodylBisacodyl 10 mg/1SuppositoryRectalRising Pharma Holdings, Inc.57237-327
BisacodylBisacodyl 10 mg/1SuppositoryRectalPharmacy Value Alliance LLC68016-084
BisacodylBisacodyl 10 mg/1SuppositoryRectalCVS Pharmacy69842-816
BisacodylBisacodyl 10 mg/1SuppositoryRectalCardinal Health70000-0573

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