Prescription drug · NDA AUTHORIZED GENERIC
PEG 3350, sodium chloride, sodium bicarbonate and potassium chloride NDC 52536-302
Polyethylene glycol 3350 420 g/4L + 3 more ingredients · Powder, For solution · Oral · Wilshire Pharmaceuticals, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 52536-302-01 | 52536030201 | 4 L in 1 BOTTLE (52536-302-01)Marketed from Apr 15, 2026 |
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)
- PEG 3350, sodium chloride, sodium bicarbonate and potassium chlorideSuffix: 3350, sodium chloride, sodium bicarbonate and potassium chloride
- Generic name (nonproprietary)
- polyethylene glycol 3350, sodium chloride, sodium bicarbonate, potassium chloride
- Active ingredients
- Polyethylene glycol 3350 — 420 g/4LSodium chloride — 11.2 g/4LSodium bicarbonate — 5.72 g/4LPotassium chloride — 1.48 g/4L
- Dosage form
- Powder, For solution
- Route
- Oral
- Product type
- Prescription drug
- Marketing category
- NDA authorized genericApplication NDA 019797
- Marketing start
- Listing expires
- Other FDA classes
- Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
- Identifiers
- Product ID 52536-302_4e442a72-b13b-4869-8a1d-59356095b091SPL ID 4e442a72-b13b-4869-8a1d-59356095b091SPL set ID 4e442a72-b13b-4869-8a1d-59356095b091RxCUI 801054UNII G2M7P15E5P, 451W47IQ8X, 8MDF5V39QO, 660YQ98I10UPC 0352536302012
- Pharmacologic class
- Osmotic Laxative; Potassium Salt
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
N452536030201followed by a unit qualifier and the quantityPackage 52536-0302-01. 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.