NDC codes

FDA NDC Directory
Product NDC (as listed)69626-0084Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69626-0084Add 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
69626-0084-669626008406696260084061 BOTTLE, WITH APPLICATOR in 1 CARTON (69626-0084-6) / 133 mL in 1 BOTTLE, WITH APPLICATORMarketed from Feb 9, 2015

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)
Relief
Generic name (nonproprietary)
sodium phosphate, monobasic and sodium phosphate, dibasic, heptahydrate
Active ingredients
Sodium phosphate, Monobasic — 19 g/133mLSodium phosphate, Dibasic, Heptahydrate — 7 g/133mL
Dosage form
Enema
Route
Rectal
Labeler
Leosons Overseas CorpNDC labeler code 69626
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
Marketing start
Listing expires
Identifiers
Product ID 69626-0084_27477e10-e566-a526-e063-6394a90a7590SPL ID 27477e10-e566-a526-e063-6394a90a7590SPL set ID 5b301d5b-1e2c-47ed-a05f-d6be0fdfc940UNII 3980JIH2SW, 70WT22SF4B

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

N469626008406 followed by a unit qualifier and the quantity

Package 69626-0084-06. 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 for relief of occasional constipation

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69626-0084

What is NDC 69626-0084?
69626-0084 is the product NDC for Relief, Sodium phosphate, Monobasic 19 g/133mL; Sodium phosphate, Dibasic, Heptahydrate 7 g/133mL enema, listed with the FDA by Leosons Overseas Corp. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Relief (SODIUM PHOSPHATE, MONOBASIC and SODIUM PHOSPHATE, DIBASIC, HEPTAHYDRATE).
What is the active ingredient?
Sodium phosphate, Monobasic, Sodium phosphate, Dibasic, Heptahydrate.
Who is the labeler?
Leosons Overseas Corp, NDC labeler code 69626. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Relief?
2 other product NDCs are listed under this name. See all Relief 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 Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
ReliefmentholMenthol 5 g/100gPatchTopicalLa Mend, Inc.72587-00372587-0003-01
Reliefcolloidal oatmeal 1%Oatmeal 1.3 g/1.3gCreamTopicalEra Organics, Inc.72400-20372400-0203-0472400-0203-08

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
Stool Softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-938
GlycerinGlycerin 1 g/1SuppositoryRectalChain Drug Consortium LLC68016-161
BisacodylBisacodyl 10 mg/1SuppositoryRectalCVS Pharmacy69842-816
Mineral oilMineral oil 100 mg/100mLOilOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-035
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalWhole Foods Market42681-6412
Stratuscare Glycerin Laxative PediatricglycerinGlycerin 1 g/1SuppositoryRectalStratus Pharmaceuticals58980-409
Senokotstandardized senna concentrateSennosides 8.6 mg/1TabletOralAtlantis Consumer Healthcare, Inc.67618-300
SennaSennosides a and b 8.8 mg/5mLSolutionOralRugby Laboratories0536-1483
Milk Of Magnesia Cherrymagnesium hydroxideMagnesium hydroxide 1200 mg/15mLLiquidOralTOP CARE (TOPCO ASSOCIATES LLC)36800-684
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalWhole Foods Market42681-6413
Stratuscare Adult GlyceringlycerinGlycerin 2 g/1SuppositoryRectalStratus Pharmaceuticals58980-410
Phillips Fresh Mint Milk Of MagnesiaMagnesium hydroxide 1200 mg/15mLLiquidOralBayer HealthCare LLC.0280-0031
Senokot-Sstandardized senna concentrate and docusate sodiumSennosides 8.6 mg/1; Docusate sodium 50 mg/1TabletOralAtlantis Consumer Healthcare, Inc.67618-310
Senexon-Sdocusate sodium 50mg and sennosides 8.6mgSennosides 8.6 mg/1; Docusate sodium 50 mg/1Tablet, Film coatedOralRUGBY LABORATORIES0536-1247
Equate Kids Gentle Laxative SCmagnesium hydroxideMagnesium hydroxide 1200 mg/1Tablet, ChewableOralWalmart79903-252
Stratuscare BisacodylbisacodylBisacodyl 10 mg/1SuppositoryRectalStratus Pharmaceuticals58980-415
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalVi-Jon, LLC0869-0602
FleetbisacodylBisacodyl 5 mg/1Tablet, CoatedOralC.B. Fleet Company, Inc.0132-0401
Stool Softenerdocusate sodiumDocusate sodium 100 mg/1TabletOralGeri-Care Pharmaceuticals, Corp57896-421
Stool Softener Extra Strengthdocusate sodiumDocusate sodium 250 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-740

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