Over-the-counter drug · OTC MONOGRAPH NOT FINAL
Freds Saline Twin Pack Laxative NDC 55315-301
Sodium phosphate, Dibasic, Unspecified form 7 g/133mL; Sodium phosphate, Monobasic, Unspecified form 19 g/133mL · Enema · Rectal · FRED'S
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 55315-301-01 | 55315030101 | 2 BOTTLE, PLASTIC in 1 CARTON (55315-301-01) / 133 mL in 1 BOTTLE, PLASTICMarketed from Dec 20, 2019 |
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)
- Freds Saline Twin Pack LaxativeSuffix: LAXATIVE
- Generic name (nonproprietary)
- sodium phosphate, dibasic, unspecified form and sodium phosphate, monobasic, unspecified form
- Active ingredients
- Sodium phosphate, Dibasic, Unspecified form — 7 g/133mLSodium phosphate, Monobasic, Unspecified form — 19 g/133mL
- Dosage form
- Enema
- Route
- Rectal
- Labeler
- FRED'S
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph (not final)Application part334
- Marketing start
- Listing expires
- Identifiers
- Product ID 55315-301_a3afd43d-bf5f-4044-9952-243aac1251faSPL ID a3afd43d-bf5f-4044-9952-243aac1251faSPL set ID 7d15057f-eb3b-477f-ab14-68c3c38ea910RxCUI 283100UNII GR686LBA74, 3980JIH2SW
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.
- NDC on a medical claim
N455315030101followed by a unit qualifier and the quantityPackage 55315-0301-01. 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
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Use relieves occasional constipation this product generally produces a bowel movement in 1 to 5 minutes
Excerpt only. Read the full label for complete information.
Other NDCs under part334
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Saline Laxative Cherry Laxativesodium phosphate, dibasic and sodium phosphate, monobasic, unspecified form | Sodium phosphate, Dibasic 2.7 g/45mL; Sodium phosphate, Monobasic, Unspecified form 7.2 g/45mL | LiquidOral | Dolgencorp Inc. | 55910-339 |
| Stool Softening Senna Laxativesennosides 8.6 mg - docusate sodium 50 mg | Docusate sodium 50 mg/1; Sennosides a and b 8.6 mg/1 | TabletOral | TARGET CORPORATION | 11673-192 |
| Stimulant Laxative Plus Stool Softenerdocusate sodium 50 mg and sennosides 8.6 mg | Sennosides 8.6 mg/1; Docusate sodium 50 mg/1 | Tablet, Film coatedOral | Preferred Pharmaceuticals, Inc. | 68788-7674 |
| Docusate Sodium | Docusate sodium 100 mg/1 | Capsule, Liquid filledOral | Preferred Pharmaceuticals Inc. | 68788-8658 |
| Marcs Twin Packsodium phosphate, dibasic, unspecified form and sodium phosphate, monobasic, unspecified form | Sodium phosphate, Dibasic, Unspecified form 19 g/133mL; Sodium phosphate, Monobasic, Unspecified form 7 g/133mL | EnemaRectal | Marc Glassman Inc. | 68998-233 |
| Quality Choice Single Saline Laxativesodium phosphate, dibasic, unspecified form and sodium phosphate, monobasic, unspecified form | Sodium phosphate, Dibasic, Unspecified form 7 g/118mL; Sodium phosphate, Monobasic, Unspecified form 19 g/118mL | EnemaRectal | Alcyon Health, LLC. | 71443-001 |
| Stimulant Laxativebisacodyl | Bisacodyl 5 mg/1 | Tablet, Delayed releaseOral | TIME CAP LABORATORIES, INC. | 49483-003 |
| Pro-Enema Single Saline Laxativesodium phosphate, dibasic and sodium phosphate, monobasic, unspecified form | Sodium phosphate, Dibasic 7 g/118mL; Sodium phosphate, Monobasic, Unspecified form 19 g/118mL | EnemaRectal | Propharma Medical Supplies | 71451-001 |
| Womens Gentle Laxativebisacodyl | Bisacodyl 5 mg/1 | TabletOral | TARGET CORPORATION | 11673-151 |