Over-the-counter drug · OTC MONOGRAPH DRUG

Epsom Salt (Magnesium sulfate) NDC 67091-352

Magnesium sulfate, Unspecified 1 g/g · Granule · Oral, Topical · WinCo Foods, LLC

NDC codes

FDA NDC Directory
Product NDC (as listed)67091-352Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67091-0352Add 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
67091-352-04670910352041.81 g in 1 POUCH (67091-352-04)Marketed from Jul 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)
Epsom Salt
Generic name (nonproprietary)
magnesium sulfate
Active ingredients
Magnesium sulfate, Unspecified — 1 g/g
Dosage form
Granule
Route
Oral, Topical
Labeler
WinCo Foods, LLCNDC labeler code 67091
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 67091-352_22a5416a-add7-41c0-b771-469e00c9a691SPL ID 22a5416a-add7-41c0-b771-469e00c9a691SPL set ID 80e420c5-7e1f-4c62-b914-f607767fd239RxCUI 1053346UNII DE08037SABUPC 0070552240865
Pharmacologic class
Calculi Dissolution Agent; 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, Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N467091035204 followed by a unit qualifier and the quantity

Package 67091-0352-04. 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)

Uses relieves occasional constipation (irregularity) generally produces bowel movement in 1/2 to 6 hours

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67091-352

What is NDC 67091-352?
67091-352 is the product NDC for Epsom Salt (magnesium sulfate), Magnesium sulfate, Unspecified 1 g/g granule, listed with the FDA by WinCo Foods, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Epsom Salt (Magnesium sulfate).
What is the active ingredient?
Magnesium sulfate, Unspecified.
Who is the labeler?
WinCo Foods, LLC, NDC labeler code 67091. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Epsom Salt?
43 other product NDCs are listed under this name. See all Epsom Salt 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 Epsom Salt NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalHy-Vee, Inc.42507-96242507-0962-0642507-0962-07
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalGrocery Outlet, Inc.85828-60285828-0602-07
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalHARRIS TEETER72036-60272036-0602-01
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalChain Drug Marketing Association83324-17583324-0175-0483324-0175-16
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalFamily Dollar (FAMILY WELLNESS)55319-57255319-0572-02
Epsom SaltMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalStrategic Sourcing Services LLC70677-121070677-1210-01
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalCVS PHARMACY, INC51316-39551316-0395-0451316-0395-08
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalCardinal Health (Leader) 7000070000-061470000-0614-01
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalSafeway, Inc.21130-97021130-0970-04
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranuleOral, TopicalCVS PHARMACY51316-07251316-0072-45

All 44 Epsom Salt NDCs

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
CVS Healthnatural fiber supplementPsyllium husk 6 g/6gPowderOralCVS Pharmacy,Inc.69842-524
Alcohol wet wipesAlcohol 75 mL/100mLDressingTopicalShandong Aishule Hygiene Products Co., Ltd82061-006
Docusate SodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralMajor Pharmaceuticals0904-7609
Stool Softener Laxativedocusate sodiumDocusate sodium 100 mg/1CapsuleOralCare One (Retail Business Services, LLC.)72476-862
Epsom Saltmagnesium sulfateMagnesium sulfate, Unspecified 1 g/gGranuleOral, TopicalCVS PHARMACY, INC51316-395
Quality Choice Castor Oilcastor oilCastor oil 1 mg/mLLiquidOralChain Drug Market Asociation63868-322
Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalTarget Corporation11673-602
Signature CarecastorCastor oil 1 g/mLOilOralBetter Living Brands, LLC21130-078
Docusate Sodium Oral LiquidDocusate sodium 100 mg/10mLLiquidOralKesin Pharma Corporation81033-022
Milk Of Magnesia Cherrymagnesium hydroxideMagnesium hydroxide 1200 mg/15mLLiquidOralTOP CARE (TOPCO ASSOCIATES LLC)36800-684
Gentle LaxativebisacodylBisacodyl 5 mg/1Tablet, Delayed releaseOralWal-Mart Stores Inc79903-178
Mineral oilMineral oil 100 mg/100mLOilOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-035
Magnesium Citratecvs magnesium citrate oral solution - lemonMagnesium citrate 1.745 g/29.6mLLiquidOralCVS Pharmacy, Inc.51316-880
Stimulant Laxative Plus Stool Softenerdocusate sodium 50 mg and sennosides 8.6 mgSennosides 8.6 mg/1; Docusate sodium 50 mg/1Tablet, Film coatedOralBryant Ranch Prepack71335-2693
Fiber Capletscalcium polycarbophilCalcium polycarbophil 625 mg/1Tablet, Film coatedOralSAFEWAY21130-021
Stool Softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralBryant Ranch Prepack72162-2255
Stool Softener Laxativedocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralStrategic Sourcing Services LLC70677-1095
Stool Softenerdocusate sodiumDocusate sodium 250 mg/1Capsule, Liquid filledOralStrategic Sourcing Services LLC70677-1096
OneLAX SENNAsennaSennosides a and b 417.12 mg/237mLSyrupOralAkron Pharma Inc.71399-0027
CDMA Fiber TherapymethylcelluloseMethylcellulose (4000 mpa.s) 500 mg/1TabletOralCHAIN DRUG MARKETING ASSOCIATION63868-166

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