NDC codes

FDA NDC Directory
Product NDC (as listed)42681-0059Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42681-0059Add 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
42681-0059-142681005901119 g in 1 BOTTLE (42681-0059-1)Marketed from Jun 5, 2026

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)
365 WHOLE FOODS MARKET 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 42681-0059_b19f42a9-18ac-4d23-87b5-3c43e47c4054SPL ID b19f42a9-18ac-4d23-87b5-3c43e47c4054SPL set ID b19f42a9-18ac-4d23-87b5-3c43e47c4054RxCUI 876193UNII G2M7P15E5PUPC 0099482547981
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

N442681005901 followed by a unit qualifier and the quantity

Package 42681-0059-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAurobindo Pharma Limited84386-125
Comfortlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralFamily Dollar Stores, LLC55319-056
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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