Over-the-counter drug · OTC MONOGRAPH DRUG

Glycerin NDC 69842-722

Glycerin 1 g/1.21 · Suppository · Rectal · CVS Pharmacy

NDC codes

FDA NDC Directory
Product NDC (as listed)69842-722Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0722Add 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
69842-722-256984207222525 SUPPOSITORY in 1 JAR (69842-722-25)Marketed from Aug 18, 2016

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)
Glycerin
Generic name (nonproprietary)
glycerin
Active ingredients
Glycerin — 1 g/1.21
Dosage form
Suppository
Route
Rectal
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 007
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Glycerol (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)
Identifiers
Product ID 69842-722_41ebb310-0a09-8246-e063-6294a90a6acdSPL ID 41ebb310-0a09-8246-e063-6294a90a6acdSPL set ID 3a59c4a9-5f86-406a-e054-00144ff8d46cRxCUI 252062UNII PDC6A3C0OX
Pharmacologic class
Non-Standardized Chemical Allergen

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

N469842072225 followed by a unit qualifier and the quantity

Package 69842-0722-25. 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 for relief of occasional constipation this product generally produces a bowel movement in 1/4 to 1 hour

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-722

What is NDC 69842-722?
69842-722 is the product NDC for Glycerin, Glycerin 1 g/1.21 suppository, listed with the FDA by CVS Pharmacy. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glycerin.
What is the active ingredient?
Glycerin.
Who is the labeler?
CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glycerin?
24 other product NDCs are listed under this name. See all Glycerin 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 Glycerin NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Glyceringlycerin suppositoryGlycerin 2 g/1SuppositoryRectalEverpharm LLC84415-03984415-0039-50
Glyceringlycerin suppositoryGlycerin 1.2 g/1SuppositoryRectalEverpharm LLC84415-04184415-0041-50
GlycerinGlycerin 63 g/100mLLiquidRectalBeijing Jingfeng Pharmaceutical (Shandong) Co., Ltd85270-99985270-0999-04
GlycerinGlycerin 63 g/100mLLiquidRectalBeijing Jingfeng Pharmaceutical (Shandong) Co., Ltd85270-99985270-0999-88
GlycerinGlycerin 63 g/100mLLiquidRectalBeijing Jingfeng Pharmaceutical (Shandong) Co., Ltd85270-99985270-0999-12
GlycerinGlycerin 2.1 g/1SuppositoryRectalChain Drug Marketing Association Inc.83324-28483324-0284-2583324-0284-50
Glyceringlycerin suppositoriesGlycerin 1 g/1.25gSuppositoryRectalNeilmed Pharmaceuticals Inc.13709-33313709-0333-0113709-0333-02
GlycerinGlycerin 1.2 g/1SuppositoryRectalChain Drug Marketing Association Inc.83324-28583324-0285-25
GlycerinGlycerin 2 g/1SuppositoryRectalRising Pharma Holdings, Inc.57237-32557237-0325-2157237-0325-52
GlycerinGlycerin 2 g/1SuppositoryRectalCardinal Health70000-057270000-0572-01

All 25 Glycerin 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, Unspecified 1 g/gGranuleOral, TopicalWinCo Foods, LLC67091-352
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

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