NDC codes

FDA NDC Directory
Product NDC (as listed)84386-125Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84386-0125Add 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
84386-125-0884386012508119 g in 1 BOTTLE, PLASTIC (84386-125-08)Marketed from Jan 7, 2026
84386-125-148438601251414 PACKET in 1 CARTON (84386-125-14) / 17 g in 1 PACKETMarketed from Jan 7, 2026
84386-125-2484386012524238 g in 1 BOTTLE, PLASTIC (84386-125-24)Marketed from Jan 7, 2026
84386-125-5484386012554510 g in 1 BOTTLE, PLASTIC (84386-125-54)Marketed from Jan 7, 2026

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
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209017
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 84386-125_0ae015fc-a1b3-4ace-b5de-85e07b154f5cSPL ID 0ae015fc-a1b3-4ace-b5de-85e07b154f5cSPL set ID b51f2223-8266-4d6c-bf32-58e53e73b54dRxCUI 876193UNII G2M7P15E5PUPC 0384386125084
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

N484386012508 followed by a unit qualifier and the quantity

Package 84386-0125-08. 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)

Other NDCs under ANDA 209017

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

FDA NDC Directory listings under ANDA 209017
ProductStrengthForm · routeLabelerProduct NDC
Comfortlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralFamily Dollar Stores, LLC55319-056
365 WHOLE FOODS MARKET Polyethylene Glycol 3350polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWhole Foods Market, Inc.42681-0059
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurohealth LLC58602-805
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCARDINAL HEALTH 110, LLC. DBA LEADER70000-0699

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