Over-the-counter drug · ANDA

Good Neighbor Pharmacy ClearLax (polyethylene glycol 3350) NDC 46122-014

Polyethylene glycol 3350 17 g/17g · Powder, For solution · Oral · Amerisource Bergen

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
46122-014-3146122001431119 g in 1 BOTTLE (46122-014-31)Marketed from Oct 19, 2009
46122-014-3346122001433238 g in 1 BOTTLE (46122-014-33)Marketed from Oct 20, 2009
46122-014-524612200145210 PACKET in 1 CARTON (46122-014-52) / 17 g in 1 PACKETMarketed from Sep 6, 2016
46122-014-7146122001471510 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
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_d3310994-ca89-4900-bb9d-2d7ab8cb6f0cSPL ID d3310994-ca89-4900-bb9d-2d7ab8cb6f0cSPL set ID 4f2d3ef2-5097-4653-8dab-de5ba1fb9c41RxCUI 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

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

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

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
Dulcolaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowderOralChattem, Inc.41167-0223
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralH E B37808-306
Good Sense Clear Laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals Inc.68788-8795
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-033
kirkland signature laxaclear original prescription strengthpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCostco Wholesale Company63981-306
Topcare ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralTopco Associates LLC76162-119
Laxativepolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralRite Aid Corporation11822-0306
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSafeway21130-637
up and up powderlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralTarget Corporation11673-306
good neighbor pharmacy clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerisource Bergen46122-805
careone clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralRetail Business Services, LLC72476-723
purelaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCVS Pharmacy69842-458
foster and thrive clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralStrategic Sourcing Services LLC70677-1109
equaline clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralUnited Natural Foods, Inc. dba UNFI41163-306
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralH E B59640-797
Good Sense Clear Laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralProficient Rx LP71205-447
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer Distribution Inc41250-306
good sense clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralL. Perrigo Company0113-1023
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPublix Super Markets Inc56062-306
Welby ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAldi, Inc64024-306

Showing 20 of 39.

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