Over-the-counter drug · ANDA

Polyethylene Glycol 3350 NDC 72162-2172

Polyethylene glycol 3350 17 g/17g · Powder, For solution · Oral · Bryant Ranch Prepack

NDC codes

FDA NDC Directory
Product NDC (as listed)72162-2172Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72162-2172Add 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
72162-2172-27216221720272162217202238 g in 1 BOTTLE (72162-2172-2)Marketed from Jan 23, 2024
72162-2172-47216221720472162217204510 g in 1 BOTTLE (72162-2172-4)Marketed from Jan 23, 2024

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)
Polyethylene Glycol 3350
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
Bryant Ranch PrepackNDC labeler code 72162
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090685
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 72162-2172_3286920b-41aa-4157-8f16-ab3aeb9dd5b9SPL ID 3286920b-41aa-4157-8f16-ab3aeb9dd5b9SPL set ID 5df518fb-ad58-4f17-af34-f66066f1313aRxCUI 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

N472162217202 followed by a unit qualifier and the quantity

Package 72162-2172-02. 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 72162-2172

What is NDC 72162-2172?
72162-2172 is the product NDC for Polyethylene Glycol 3350, Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Bryant Ranch Prepack. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Polyethylene Glycol 3350.
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 72162. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Polyethylene Glycol 3350?
29 other product NDCs are listed under this name. See all Polyethylene Glycol 3350 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 Polyethylene Glycol 3350 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurohealth LLC58602-91058602-0910-0158602-0910-0258602-0910-03+4 more
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralL.N.K. International, Inc.50844-77250844-0772-0150844-0772-0350844-0772-09+7 more
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralThe Fresh Test, LLC87362-11987362-0119-01
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurobindo Pharma Limited84386-12584386-0125-0884386-0125-1484386-0125-24+1 more
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/1Powder, For solutionOralYYBA Corp73581-91373581-0913-40
Polyethylene Glycol 3350instalax polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSun Pharmaceutical Industries, Inc.51672-210451672-2104-0351672-2104-0551672-2104-09
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKesin Pharma Corporation81033-76281033-0762-0181033-0762-1481033-0762-30
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralNorthStar Rx LLC72603-30272603-0302-0272603-0302-0372603-0302-04
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPIONEER LIFE SCIENCES, LLC72090-03672090-0036-0172090-0036-0272090-0036-03
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCARDINAL HEALTH 110, LLC. DBA LEADER70000-069970000-0699-02

All 30 Polyethylene Glycol 3350 NDCs

Other NDCs under ANDA 090685

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

FDA NDC Directory listings under ANDA 090685
ProductStrengthForm · routeLabelerProduct NDC
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp, LLC55910-306
good neighbor pharmacy clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-805
equaline clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralUnited Natural Foods, Inc. dba UNFI41163-306
Members Mark clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSam's West Inc68196-306
berkley and jensen clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBJWC68391-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer Distribution Inc41250-306
MiraLAX Orange Flavorpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBayer HealthCare LLC.11523-0122
Good Neighbor Pharmacy ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-014
Exchange Select ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralArmy & Air Force Exchange Service55301-306
Good Sense Clear Laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals Inc.68788-8795
kirkland signature laxaclear original prescription strengthpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCostco Wholesale Company63981-306
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy59779-306
gentle laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKroger Company30142-306
Topcare ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralTopco Associates LLC76162-119
rugby PEG 3350polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBryant Ranch Prepack72162-2155
signature care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSafeway21130-847
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy69842-458
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-471
Gentlelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKroger Company30142-504
basic care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-499

Showing 20 of 39.

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