NDC codes

FDA NDC Directory
Product NDC (as listed)45861-083Labeler and product segments. Claims need a package NDC.
Product NDC at billing width45861-0083Add 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
45861-083-0545861008305238 d in 1 BOTTLE (45861-083-05)Marketed from Feb 10, 2025
45861-083-06458610083062 BOTTLE in 1 BOX (45861-083-06) / 476 d in 1 BOTTLEMarketed from Feb 10, 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, NF Powder for Solution, Laxative
Generic name (nonproprietary)
polyethylene glycol 3350, nf powder for solution, laxative
Active ingredients
Polyethylene glycol 3350 — 17 g/d
Dosage form
Powder, For solution
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090812
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 45861-083_2f83c954-31c2-fa95-e063-6394a90a5861SPL ID 2f83c954-31c2-fa95-e063-6394a90a5861SPL set ID d048111f-8144-4d51-a0c2-a967b2bce455RxCUI 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

N445861008305 followed by a unit qualifier and the quantity

Package 45861-0083-05. 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 090812

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

FDA NDC Directory listings under ANDA 090812
ProductStrengthForm · routeLabelerProduct NDC
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralGeri-Care Pharmaceutical Corp57896-489
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBryant Ranch Prepack72162-2180
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSTRATEGIC SOURCING SERVICES LLC70677-1068
EasyLAXpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralVALU MERCHANDISERS COMPANY63941-489
Polyethylene Glycol 3350, NF Powder for Solution, LaxativePolyethylene glycol 3350 17 g/dPowder, For solutionOralLGM PHARMA SOLUTIONS, LLC79739-7116

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