NDC codes

FDA NDC Directory
Product NDC (as listed)73581-913Labeler and product segments. Claims need a package NDC.
Product NDC at billing width73581-0913Add 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
73581-913-407358109134040 PACKET in 1 CARTON (73581-913-40) / 17 POWDER, FOR SOLUTION in 1 PACKETMarketed from Jan 1, 2026

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)
Polyethylene Glycol 3350
Generic name (nonproprietary)
polyethylene glycol 3350
Active ingredients
Polyethylene glycol 3350 — 17 g/1
Dosage form
Powder, For solution
Route
Oral
Labeler
YYBA Corp
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214990
Marketing start
Listing expires
Other FDA classes
Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 73581-913_48488531-5d05-4af6-e063-6294a90afe4bSPL ID 48488531-5d05-4af6-e063-6294a90afe4bSPL set ID 48488531-5d04-4af6-e063-6294a90afe4bRxCUI 876193UNII G2M7P15E5PUPC 0373581000807
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

N473581091340 followed by a unit qualifier and the quantity

Package 73581-0913-40. 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)

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 214990

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

FDA NDC Directory listings under ANDA 214990
ProductStrengthForm · routeLabelerProduct NDC
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCamber Consumer Care Inc69230-324
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralCHAIN DRUG MARKETING ASSOCIATION, INC.83324-002
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralPreferred Pharmaceuticals Inc.68788-8601
Polyethylene Glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralBluePoint Laboratories68001-607
Polyethylene Gycol 3350Polyethylene glycol 3350 17 g/gPowder, For solutionOralAllegiant Health69168-473

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