Polyethylene Glycol 3350 NDC 72603-302

NDC codes

FDA NDC Directory

Product NDC (as listed)72603-302Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72603-0302Add 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
72603-302-02	72603030202	14 PACKET in 1 CARTON (72603-302-02) / 17 g in 1 PACKET (72603-302-01)Marketed from Apr 1, 2025
72603-302-03	72603030203	30 PACKET in 1 CARTON (72603-302-03) / 17 g in 1 PACKET (72603-302-01)Marketed from Apr 1, 2025
72603-302-04	72603030204	100 PACKET in 1 CARTON (72603-302-04) / 17 g in 1 PACKET (72603-302-01)Marketed from Apr 1, 2025

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): 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: NorthStar Rx LLC
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 202850
Marketing start: Apr 1, 2025
Listing expires: Dec 31, 2026
Other FDA classes: Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 72603-302_2e7e711f-65c3-a4b4-e063-6294a90a85efSPL ID 2e7e711f-65c3-a4b4-e063-6294a90a85efSPL set ID 2e7e72eb-b759-5b59-e063-6394a90aa7ffRxCUI 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

N472603030202 followed by a unit qualifier and the quantity

Package 72603-0302-02. 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 Feb 19, 2025.

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)

Other NDCs under ANDA 202850

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

FDA NDC Directory listings under ANDA 202850
Product	Strength	Form · route	Labeler	Product NDC
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	ANI Pharmaceuticals, Inc.	62559-157
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	SKY Packaging	63739-760