NDC codes

FDA NDC Directory
Product NDC (as listed)68682-201Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68682-0201Add 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
68682-201-75686820201751 KIT in 1 CONTAINER (68682-201-75) * 1 L in 1 POUCH * 1 L in 1 POUCHMarketed from Oct 1, 2006

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)
PEG-3350, Electrolytes, and Ascorbate
Generic name (nonproprietary)
polyethylene glycol 3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate, and ascorbic acid
Dosage form
Kit
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021881
Marketing start
Listing expires
Identifiers
Product ID 68682-201_630b75e4-3344-4cd5-a441-72ba67108676SPL ID 630b75e4-3344-4cd5-a441-72ba67108676SPL set ID cd9c0751-10fa-4f5f-bf29-742823541d22RxCUI 800915

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

N468682020175 followed by a unit qualifier and the quantity

Package 68682-0201-75. 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)

Polyethylene Glycol-3350, Electrolytes, and Ascorbate for Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. Polyethylene Glycol-3350, Electrolytes, and Ascorbate for Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021881

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

FDA NDC Directory listings under NDA 021881
ProductStrengthForm · routeLabelerProduct NDC
MoviPreppolyethylene glycol 3350, sodium sulfate, sodium chloride, potassium chloride, ascorbic acid, sodium ascorbate—KitSalix Pharmaceuticals, Inc.65649-201

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