NDC codes

FDA NDC Directory
Product NDC (as listed)55910-999Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0999Add 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
55910-999-06559100999064 BOTTLE, PLASTIC in 1 CARTON (55910-999-06) / 133 mL in 1 BOTTLE, PLASTICMarketed from Jun 25, 2018
55910-999-12559100999122 BOTTLE, PLASTIC in 1 CARTON (55910-999-12) / 133 mL in 1 BOTTLE, PLASTICMarketed from Jun 25, 2018

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)
Rexall Ready to use 4pk 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/118mLSodium phosphate, Monobasic, Unspecified form — 19 g/118mL
Dosage form
Enema
Route
Rectal
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
Marketing start
Listing expires
Identifiers
Product ID 55910-999_f9ffffdf-dd4a-4de5-8867-dfa7ba0986eaSPL ID f9ffffdf-dd4a-4de5-8867-dfa7ba0986eaSPL set ID 78509915-0ef1-4238-99a5-78a49a68f98fRxCUI 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

N455910099906 followed by a unit qualifier and the quantity

Package 55910-0999-06. 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 bowel movement in 1 to 5 minutes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 007

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

FDA NDC Directory listings under M 007
ProductStrengthForm · routeLabelerProduct NDC
SennosidesSennosides 8.6 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2660
Stimulant Laxative Plus Stool Softenerdocusate sodium 50 mg and sennosides 8.6 mgSennosides 8.6 mg/1; Docusate sodium 50 mg/1Tablet, Film coatedOralRUGBY LABORATORIES0536-1248
OneLAX SENNAsennaSennosides a and b 417.12 mg/237mLSyrupOralAtlantic Biologicals Corp.17856-8127
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalYour Military Exchanges55301-602
DRx Choice Fiber TherapymethylcelluloseMethylcellulose (4000 mpa.s) 2 g/10.2gPowder, For solutionOralRARITAN PHARMACEUTICALS INC68163-517
BisacodylBisacodyl 10 mg/1SuppositoryRectalCVS Pharmacy69842-816
SennasennosidesSennosides 8.8 mg/5mLLiquidOralPAI Holdings, LLC dba PAI Pharma0121-4967
Castor OilCastor oil 1 mg/mLLiquidOralUnited Natural Foods, Inc. dba UNFI41163-078
Stool Softener Laxative Plus Stimulantdocusate sodium and sennosidesDocusate sodium 50 mg/1; Sennosides 8.6 mg/1TabletOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-978
Magnesium Citrateharris teeter magnesium citrate oral solution - lemonMagnesium citrate 1.745 g/29.6mLLiquidOralHarris Teeter, LLC69256-311
Castor OilCastor oil 1000 mg/mLLiquidOralMeijer, Inc.79481-0782
Docusate Mini Enemadocusate sodiumDocusate sodium 283 mg/5mLLiquidRectalMajor Pharmaceuticals0904-6920
Castor OilCastor oil 1 mg/mLLiquidOralOld East Main Co.55910-979
Docusate SodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralAsclemed USA, Inc.76420-225
MiraFAST KIDS soft chewsmagnesium hydroxideMagnesium hydroxide 1200 mg/1Bar, ChewableOralBayer HealthCare LLC.11523-8296
Senna TabssennaSennosides a and b 8.6 mg/1Tablet, Film coatedOralPharbest Pharmaceuticals, Inc.16103-363
Discount Drugmart Gentle LaxativebisacodylBisacodyl 10 mg/2000mgSuppositoryRectalDiscount Drug Mart, Inc53943-805
Docusate SodiumDocusate sodium 250 mg/1Capsule, Liquid filledOralNational Vitamin Company54629-601
CVS Gentle LaxativebisacodylBisacodyl 10 mg/1SuppositoryRectalCVS Pharmacy59779-107
Vegetable LaxativesennosidesSennosides a and b 8.6 mg/1TabletOralBETTER LIVING BRANDS LLC.21130-998

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