Sodium Polystyrene Sulfonate NDC 42806-013

NDC codes

FDA NDC Directory

Product NDC (as listed)42806-013Labeler and product segments. Claims need a package NDC.

Product NDC at billing width42806-0013Add 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	Copy
42806-013-94	42806001394	15 g in 1 BOTTLE (42806-013-94)Marketed from Sep 15, 2022
42806-013-96	42806001396	453.6 g in 1 JAR (42806-013-96)Marketed from Apr 14, 2014

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): Sodium Polystyrene Sulfonate
Generic name (nonproprietary): sodium polystyrene sulfonate
Active ingredients: Sodium polystyrene sulfonate — 4.1 meq/g
Dosage form: Powder, For suspension
Route: Oral
Labeler: Epic Pharma, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 202333
Marketing start: Apr 14, 2014
Listing expires: Dec 31, 2026
Identifiers: Product ID 42806-013_b177069d-1a6b-490c-b17a-a2399d99685fSPL ID b177069d-1a6b-490c-b17a-a2399d99685fSPL set ID 61cc890b-eb3d-494c-ae45-629a27e721ceRxCUI 2101899UNII 1699G8679ZUPC 0342806013946

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

N442806001394 followed by a unit qualifier and the quantity

Package 42806-0013-94. 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 202333

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

FDA NDC Directory listings under ANDA 202333
Product	Strength	Form · route	Labeler	Product NDC
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral	PuraCap Laboratories, LLC	24658-760
Sodium Polystyrene Sulfonate	Sodium polystyrene sulfonate 4.1 meq/g	Powder, For suspensionOral	ATLANTIC BIOLOGICALS CORP.	17856-0024