Over-the-counter drug · ANDA
clear lax (Polyethylene glycol 3350) NDC 42507-306
Polyethylene glycol 3350 17 g/17g · Powder, For solution · Oral · HyVee Inc
NDC codes
FDA NDC DirectoryProduct NDC (as listed)42507-306Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42507-0306Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 42507-306-01 | 42507030601 | 119 g in 1 BOTTLE (42507-306-01)Marketed from Feb 25, 2026 | |
| 42507-306-02 | 42507030602 | 238 g in 1 BOTTLE (42507-306-02)Marketed from Oct 11, 2009 | |
| 42507-306-03 | 42507030603 | 510 g in 1 BOTTLE (42507-306-03)Marketed from Mar 14, 2011 | |
| 42507-306-09 | 42507030609 | 765 g in 1 BOTTLE (42507-306-09)Marketed from Feb 25, 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)
- clear lax
- Generic name (nonproprietary)
- polyethylene glycol 3350
- Active ingredients
- Polyethylene glycol 3350 — 17 g/17g
- Dosage form
- Powder, For solution
- Route
- Oral
- Labeler
- HyVee IncNDC labeler code 42507
- 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 42507-306_334f79ba-e69c-4645-97d4-c901837101edSPL ID 334f79ba-e69c-4645-97d4-c901837101edSPL set ID 5bcf01d8-ddf3-4e64-8d3f-3526a51a5859RxCUI 876193, 880407UNII 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
N442507030601followed by a unit qualifier and the quantityPackage 42507-0306-01. 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)
Use • relieves occasional constipation (irregularity) • generally produces a bowel movement in 1 to 3 days
Excerpt only. Read the full label for complete information.
About NDC 42507-306
- What is NDC 42507-306?
- 42507-306 is the product NDC for clear lax (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by HyVee Inc. It has 4 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- clear lax (Polyethylene Glycol 3350).
- What is the active ingredient?
- Polyethylene glycol 3350.
- Who is the labeler?
- HyVee Inc, NDC labeler code 42507. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for clear lax?
- 2 other product NDCs are listed under this name. See all clear lax NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other clear lax products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| clear laxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | H E B | 37808-306 | 37808-0306-0137808-0306-0237808-0306-03+1 more |
| clear laxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Meijer Distribution Inc | 41250-306 | 41250-0306-0141250-0306-0241250-0306-03+2 more |
Other NDCs under ANDA 090685
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Topcare ClearLaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Topco Associates LLC | 36800-306 |
| Clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Amazon.com Services LLC | 72288-471 |
| laxativepolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Rite Aid Corporation | 11822-1199 |
| rugby PEG 3350polyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Bryant Ranch Prepack | 72162-2155 |
| basic care clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Amazon.com Services LLC | 72288-499 |
| Topcare ClearLaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Topco Associates LLC | 76162-119 |
| dg health clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Dolgencorp, LLC | 55910-306 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Bryant Ranch Prepack | 72162-2172 |
| Exchange Select ClearLaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Army & Air Force Exchange Service | 55301-306 |
| care one clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | American Sales Company | 41520-306 |
| Good Sense Clear Laxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Preferred Pharmaceuticals Inc. | 68788-8795 |
| Polyethylene Glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Padagis Israel Pharmaceuticals Ltd | 45802-868 |
| clear laxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | H E B | 37808-306 |
| good sense clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | L. Perrigo Company | 0113-1023 |
| basic care clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Amazon.com Services LLC | 72288-020 |
| purelaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | CVS Pharmacy | 69842-458 |
| purelaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | CVS Pharmacy | 59779-306 |
| Clearlaxpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Amazon.com Services LLC | 72288-033 |
| kirkland signature laxaclear original prescription strengthpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | Costco Wholesale Company | 63981-306 |
| injoy constipation reliefpolyethylene glycol 3350 | Polyethylene glycol 3350 17 g/17g | Powder, For solutionOral | L. Perrigo Company | 0113-6900 |
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