Over-the-counter drug · OTC MONOGRAPH DRUG

Glycerin (Glycerin suppository) NDC 84415-041

Glycerin 1.2 g/1 · Suppository · Rectal · Everpharm LLC

NDC codes

FDA NDC Directory
Product NDC (as listed)84415-041Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84415-0041Add 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
84415-041-50844150041508441500415050 POUCH in 1 CARTON (84415-041-50) / 1 SUPPOSITORY in 1 POUCHMarketed from Jun 16, 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)
Glycerin
Generic name (nonproprietary)
glycerin suppository
Active ingredients
Glycerin — 1.2 g/1
Dosage form
Suppository
Route
Rectal
Labeler
Everpharm LLCNDC labeler code 84415
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 84415-041_54634c74-bd69-33c2-e063-6294a90ad7e5SPL ID 54634c74-bd69-33c2-e063-6294a90ad7e5SPL set ID 546347e5-841e-15ca-e063-6294a90a0c8bRxCUI 421299UNII 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

N484415004150 followed by a unit qualifier and the quantity

Package 84415-0041-50. 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 usually 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 84415-041

What is NDC 84415-041?
84415-041 is the product NDC for Glycerin (glycerin suppository), Glycerin 1.2 g/1 suppository, listed with the FDA by Everpharm LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glycerin (Glycerin Suppository).
What is the active ingredient?
Glycerin.
Who is the labeler?
Everpharm LLC, NDC labeler code 84415. 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?
22 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 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
GlycerinGlycerin 2.1 g/1SuppositoryRectalDSC Laboratories Inc.52316-72552316-0725-50
GlycerinGlycerin 2 g/1SuppositoryRectalCVS Pharmacy69842-72469842-0724-1069842-0724-2569842-0724-50
GlycerinGlycerin 1 g/1SuppositoryRectalCardinal Health70000-042970000-0429-01

All 23 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
365 Whole Foods Market Epsom Saltmagnesium sulfateMagnesium sulfate heptahydrate 1 g/gGranule, For solutionOral, TopicalWhole Foods Market, Inc.42681-0060
4718 Enema, Mineral OilMineral oil 133 g/133mLEnemaRectalDynarex67777-430
Acetaminophenextra strength pain reliefAcetaminophen 500 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-5239
Alcohol wet wipesAlcohol 75 mL/100mLDressingTopicalShandong Aishule Hygiene Products Co., Ltd82061-006
Amazon Fiber Capletscalcium polycarbophilCalcium polycarbophil 625 mg/1Tablet, Film coatedOralAMAZON.COM SERVICES LLC72288-201
Amazon Fiber TherapymethylcelluloseMethylcellulose (4000 mpa.s) 500 mg/1TabletOralAMAZON.COM SERVICES LLC72288-122
Anecream 5lidocaine 5%Lidocaine 5 g/100gCreamTopicalFocus Health Group24357-702
basic care stool softenerdocusate sodiumDocusate sodium 100 mg/1Capsule, Liquid filledOralAmazon.com Services LLC72288-486
Best Choicecalcium polycarbophilCalcium polycarbophil 625 mg/1Tablet, Film coatedOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-023
Best Choice Fiber Laxativepsyllium huskPsyllium husk .52 g/1CapsuleOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-119
Best Choice Fiber TherapymethylcelluloseMethylcellulose (4000 mpa.s) 500 mg/1TabletOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-122
Best Choice Fiber Therapy Orange Flavorpsyllium huskPsyllium husk 3.4 g/12gPowderOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-513
Best Choice Fiber Therapy original coarsepsyllium huskPsyllium husk 3.4 g/7gPowderOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-511
BisacodylBisacodyl 10 mg/1SuppositoryRectalPadagis US LLC0574-7050
BisacodylBisacodyl 10 mg/1SuppositoryRectalMajor Pharmaceuticals0904-7142
BisacodylbiscodylBisacodyl 5 mg/1Tablet, CoatedOralTARGET CORPORATION11673-182
BisacodylBisacodyl 5 mg/1Tablet, CoatedOralKROGER COMPANY41226-003
BisacodylBisacodyl 10 mg/1SuppositoryRectalRising Pharma Holdings, Inc.57237-327
BisacodylBisacodyl 10 mg/1SuppositoryRectalPharmacy Value Alliance LLC68016-084
BisacodylBisacodyl 10 mg/1SuppositoryRectalCVS Pharmacy69842-816

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