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NDC 00904-6931-76 Polyethylene glycol 3350 17 g/17g Details
Polyethylene glycol 3350 17 g/17g
Polyethylene glycol 3350 is a ORAL POWDER, FOR SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is POLYETHYLENE GLYCOL 3350.
MedlinePlus Drug Summary
Polyethylene glycol 3350 is used to treat occasional constipation. Polyethylene glycol 3350 is in a class of medications called osmotic laxatives. It works by causing water to be retained with the stool. This increases the number of bowel movements and softens the stool so it is easier to pass.
Related Packages: 00904-6931-76Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Polyethylene Glycol 3350
Product Information
| NDC | 00904-6931 |
|---|---|
| Product ID | 0904-6931_68d97727-ab56-4a2a-9c46-52febf90e258 |
| Associated GPIs | 46600033003020 |
| GCN Sequence Number | 034313 |
| GCN Sequence Number Description | polyethylene glycol 3350 POWD PACK 17 G ORAL |
| HIC3 | D6S |
| HIC3 Description | LAXATIVES AND CATHARTICS |
| GCN | 86211 |
| HICL Sequence Number | 022819 |
| HICL Sequence Number Description | POLYETHYLENE GLYCOL 3350 |
| Brand/Generic | Generic |
| Proprietary Name | Polyethylene glycol 3350 |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Polyethylene glycol 3350 |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | POWDER, FOR SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 17 |
| Active Ingredient Units | g/17g |
| Substance Name | POLYETHYLENE GLYCOL 3350 |
| Labeler Name | Major Pharmaceuticals |
| Pharmaceutical Class | Osmotic Activity [MoA], Osmotic Laxative [EPC], Stimulation Large Intestine Fluid/Electrolyte Secretion [PE] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA203928 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00904-6931-76 (00904693176)
| NDC Package Code | 0904-6931-76 |
|---|---|
| Billing NDC | 00904693176 |
| Package | 30 PACKET in 1 CARTON (0904-6931-76) / 17 g in 1 PACKET |
| Marketing Start Date | 2019-06-30 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.13705 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | POLYETHYLENE GLYCOL 3350 POWD |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 1 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
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