What is NDC 67777-402?

67777-402 is the product NDC for Saline Enema, Sodium phosphate, Dibasic 7 g/118mL; Sodium phosphate, Monobasic 19 g/118mL enema, listed with the FDA by Dynarex Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Saline Enema (Sodium Phosphate Monobasic, Sodium Phosphate Dibasic).

What is the active ingredient?

Sodium phosphate, Dibasic, Sodium phosphate, Monobasic.

Dynarex Corporation, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Saline Enema?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Saline Enema NDC 67777-402 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)67777-402Labeler and product segments. Claims need a package NDC.

Product NDC at billing width67777-0402Add 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
67777-402-02	6777704020267777040202	48 BOX in 1 CASE (67777-402-02) / 1 BOTTLE in 1 BOX (67777-402-01) / 133 mL in 1 BOTTLEMarketed from Aug 29, 2012

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): Saline Enema
Generic name (nonproprietary): sodium phosphate monobasic, sodium phosphate dibasic
Active ingredients: Sodium phosphate, Dibasic — 7 g/118mLSodium phosphate, Monobasic — 19 g/118mL
Dosage form: Enema
Route: Rectal
Labeler: Dynarex CorporationNDC labeler code 67777
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 007
Marketing start: Aug 29, 2012
Listing expires: Dec 31, 2026
Identifiers: Product ID 67777-402_351f54a7-a9af-92ca-e063-6394a90a6ce6SPL ID 351f54a7-a9af-92ca-e063-6394a90a6ce6SPL set ID 7c7b68af-4ef2-4f84-9279-9f7a91c8d9c5RxCUI 283100UNII GR686LBA74, 3980JIH2SWUPC 0616784471914

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

N467777040202 followed by a unit qualifier and the quantity

Package 67777-0402-02. 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 May 14, 2025.

Indications (excerpt from the label)

Uses • For relief of occasional constipation • This product generally produces bowel movement in 2 to 15 minutes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67777-402

What is NDC 67777-402?: 67777-402 is the product NDC for Saline Enema, Sodium phosphate, Dibasic 7 g/118mL; Sodium phosphate, Monobasic 19 g/118mL enema, listed with the FDA by Dynarex Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Saline Enema (Sodium Phosphate Monobasic, Sodium Phosphate Dibasic).
What is the active ingredient?: Sodium phosphate, Dibasic, Sodium phosphate, Monobasic.
Who is the labeler?: Dynarex Corporation, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Saline Enema?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

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
Product	Strength	Form · route	Labeler	Product NDC
365 Whole Foods Market Epsom Saltmagnesium sulfate	Magnesium sulfate heptahydrate 1 g/g	Granule, For solutionOral, Topical	Whole Foods Market, Inc.	42681-0060
4718 Enema, Mineral Oil	Mineral oil 133 g/133mL	EnemaRectal	Dynarex	67777-430
Acetaminophenextra strength pain relief	Acetaminophen 500 mg/1	TabletOral	NuCare Pharmaceuticals,Inc.	68071-5239
Alcohol wet wipes	Alcohol 75 mL/100mL	DressingTopical	Shandong Aishule Hygiene Products Co., Ltd	82061-006
Amazon Fiber Capletscalcium polycarbophil	Calcium polycarbophil 625 mg/1	Tablet, Film coatedOral	AMAZON.COM SERVICES LLC	72288-201
Amazon Fiber Therapymethylcellulose	Methylcellulose (4000 mpa.s) 500 mg/1	TabletOral	AMAZON.COM SERVICES LLC	72288-122
Anecream 5lidocaine 5%	Lidocaine 5 g/100g	CreamTopical	Focus Health Group	24357-702
basic care stool softenerdocusate sodium	Docusate sodium 100 mg/1	Capsule, Liquid filledOral	Amazon.com Services LLC	72288-486
Best Choicecalcium polycarbophil	Calcium polycarbophil 625 mg/1	Tablet, Film coatedOral	BEST CHOICE (VALU MERCHANDISERS COMPANY)	63941-023
Best Choice Fiber Laxativepsyllium husk	Psyllium husk .52 g/1	CapsuleOral	BEST CHOICE (VALU MERCHANDISERS COMPANY)	63941-119
Best Choice Fiber Therapymethylcellulose	Methylcellulose (4000 mpa.s) 500 mg/1	TabletOral	BEST CHOICE (VALU MERCHANDISERS COMPANY)	63941-122
Best Choice Fiber Therapy Orange Flavorpsyllium husk	Psyllium husk 3.4 g/12g	PowderOral	BEST CHOICE (VALU MERCHANDISERS COMPANY)	63941-513
Best Choice Fiber Therapy original coarsepsyllium husk	Psyllium husk 3.4 g/7g	PowderOral	BEST CHOICE (VALU MERCHANDISERS COMPANY)	63941-511
Bisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	Padagis US LLC	0574-7050
Bisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	Major Pharmaceuticals	0904-7142
Bisacodylbiscodyl	Bisacodyl 5 mg/1	Tablet, CoatedOral	TARGET CORPORATION	11673-182
Bisacodyl	Bisacodyl 5 mg/1	Tablet, CoatedOral	KROGER COMPANY	41226-003
Bisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	Rising Pharma Holdings, Inc.	57237-327
Bisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	Pharmacy Value Alliance LLC	68016-084
Bisacodyl	Bisacodyl 10 mg/1	SuppositoryRectal	CVS Pharmacy	69842-816

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