EasyLAX (polyethylene glycol 3350) NDC 63941-489

NDC codes

FDA NDC Directory

Product NDC (as listed)63941-489Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63941-0489Add 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 NDC	11-digit (billing)	Package	Copy
63941-489-14	63941048914	238 g in 1 BOTTLE (63941-489-14)Marketed from Jan 1, 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): EasyLAX
Generic name (nonproprietary): polyethylene glycol 3350
Active ingredients: Polyethylene glycol 3350 — 17 g/17g
Dosage form: Powder, For solution
Route: Oral
Labeler: VALU MERCHANDISERS COMPANY
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 090812
Marketing start: Jan 1, 2018
Marketing end: Mar 31, 2027
Other FDA classes: Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 63941-489_4615c684-e866-c269-e063-6294a90aa451SPL ID 4615c684-e866-c269-e063-6294a90aa451SPL set ID 6597811b-6471-5afd-e053-2991aa0a07c2RxCUI 876193UNII 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

N463941048914 followed by a unit qualifier and the quantity

Package 63941-0489-14. 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 Dec 16, 2025.

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)

Other NDCs under ANDA 090812

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

FDA NDC Directory listings under ANDA 090812
Product	Strength	Form · route	Labeler	Product NDC
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Geri-Care Pharmaceutical Corp	57896-489
Polyethylene Glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	Bryant Ranch Prepack	72162-2180
Polyethylene Glycol 3350, NF Powder for Solution, Laxative	Polyethylene glycol 3350 17 g/d	Powder, For solutionOral	Pharmaceutica North America, Inc.	45861-083
Clearlaxpolyethylene glycol 3350	Polyethylene glycol 3350 17 g/17g	Powder, For solutionOral	STRATEGIC SOURCING SERVICES LLC	70677-1068
Polyethylene Glycol 3350, NF Powder for Solution, Laxative	Polyethylene glycol 3350 17 g/d	Powder, For solutionOral	LGM PHARMA SOLUTIONS, LLC	79739-7116