NDC codes

FDA NDC Directory
Product NDC (as listed)46122-014Labeler and product segments. Claims need a package NDC.
Product NDC at billing width46122-0014Add 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
46122-014-314612200143146122001431119 g in 1 BOTTLE (46122-014-31)Marketed from Oct 19, 2009
46122-014-334612200143346122001433238 g in 1 BOTTLE (46122-014-33)Marketed from Oct 20, 2009
46122-014-52461220014524612200145210 PACKET in 1 CARTON (46122-014-52) / 17 g in 1 PACKETMarketed from Sep 6, 2016
46122-014-714612200147146122001471510 g in 1 BOTTLE (46122-014-71)Marketed from Oct 27, 2009

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)
Good Neighbor Pharmacy ClearLax
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
Amerisource BergenNDC labeler code 46122
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 46122-014_039bff6d-583b-4516-82b0-c18d4cccf69bSPL ID 039bff6d-583b-4516-82b0-c18d4cccf69b
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

N446122001431 followed by a unit qualifier and the quantity

Package 46122-0014-31. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 46122-014

What is NDC 46122-014?
46122-014 is the product NDC for Good Neighbor Pharmacy ClearLax (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Amerisource Bergen. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Good Neighbor Pharmacy ClearLax (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
Amerisource Bergen, NDC labeler code 46122. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Good Neighbor Pharmacy ClearLax?
1 other product NDC are listed under this name. See all Good Neighbor Pharmacy ClearLax NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Good Neighbor Pharmacy ClearLax NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
good neighbor pharmacy clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-80546122-0805-29

Other NDCs under ANDA 090685

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

FDA NDC Directory listings under ANDA 090685
ProductStrengthForm · routeLabelerProduct NDC
Good Sense Clear Laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals Inc.68788-8795
good neighbor pharmacy clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-805
equaline clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralUnited Natural Foods, Inc. dba UNFI41163-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer Distribution Inc41250-306
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp, LLC55910-306
Members Mark clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSam's West Inc68196-306
berkley and jensen clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBJWC68391-306
gentle laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKroger Company30142-306
kirkland signature laxaclear original prescription strengthpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCostco Wholesale Company63981-306
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy59779-306
signature care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSafeway21130-847
smoothlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWalgreen Company0363-1323
up and up powderlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralTarget Corporation11673-306
good sense clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralL. Perrigo Company0113-1023
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy69842-458
Gentlelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralKroger Company30142-504
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralA-S Medication Solutions50090-2430
rugby PEG 3350polyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBryant Ranch Prepack72162-2155
laxativepolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralRite Aid Corporation11822-1199
Topcare ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralTopco Associates LLC36800-306

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