Over-the-counter drug · ANDA

dg health clearlax (Polyethylene glycol 3350) NDC 55910-846

Polyethylene glycol 3350 17 g/17g · Powder, For solution · Oral · Dolgencorp Inc

NDC codes

FDA NDC Directory
Product NDC (as listed)55910-846Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0846Add 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
55910-846-0255910084602238 g in 1 BOTTLE (55910-846-02)Marketed from May 2, 2023
55910-846-0355910084603510 g in 1 BOTTLE (55910-846-03)Marketed from Apr 8, 2023
55910-846-0455910084604119 g in 1 BOTTLE (55910-846-04)Marketed from May 4, 2023

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)
dg health clearlax
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/17g
Dosage form
Powder, For solution
Route
Oral
Labeler
Dolgencorp IncNDC labeler code 55910
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 55910-846_ffae36fd-2fb7-4afb-a7f8-29c700a477fbSPL ID ffae36fd-2fb7-4afb-a7f8-29c700a477fbSPL set ID ffae36fd-2fb7-4afb-a7f8-29c700a477fbRxCUI 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

N455910084602 followed by a unit qualifier and the quantity

Package 55910-0846-02. 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)

About NDC 55910-846

What is NDC 55910-846?
55910-846 is the product NDC for dg health clearlax (polyethylene glycol 3350), Polyethylene glycol 3350 17 g/17g powder, for solution, listed with the FDA by Dolgencorp Inc. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
dg health clearlax (Polyethylene Glycol 3350).
What is the active ingredient?
Polyethylene glycol 3350.
Who is the labeler?
Dolgencorp Inc, NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for dg health clearlax?
1 other product NDC are listed under this name. See all dg health 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 dg health clearlax NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp, LLC55910-30655910-0306-0155910-0306-0255910-0306-03

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
basic care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-020
basic care clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-499
berkley and jensen clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBJWC68391-306
care one clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmerican Sales Company41520-306
careone clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralRetail Business Services, LLC72476-723
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralH E B37808-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer Distribution Inc41250-306
clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralHyVee Inc42507-306
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralSafeway21130-637
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPublix Super Markets Inc56062-306
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralH E B59640-797
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-033
Clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralAmazon.com Services LLC72288-471
clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralMeijer, Inc.79481-0090
dg health clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralDolgencorp, LLC55910-306
Dulcolaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowderOralChattem, Inc.41167-0223
equaline clearlaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralUnited Natural Foods, Inc. dba UNFI41163-306
equate clear laxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWal-Mart Stores Inc49035-306
Equate ClearLAXpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWALMART INC.79903-114
Exchange Select ClearLaxpolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralArmy & Air Force Exchange Service55301-306

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