Epsom Salt 1 g/g Granule, 454 g
by AmerisourceBergen (Good Neighbor Pharmacy) 46122 · 454 g in 1 POUCH (46122-461-43)
NDC 46122-0461-43
🏷️ FDA NDC (as labeled)
46122-461-43
billing pads the product segment with a zero
This package
Also priced by: Medicaid pays $0.0106/unit — full pricing hub ↓
Also comes in:
1814 g 46122-0461-19
OTC
On market
Non-controlled
🗂️ Data synced Sep 17, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →
🆔 Identity & classification
FDA NDC (as labeled)
46122-461-43
Product NDC
46122-461
11-digit billing NDC
46122046143
NCPDP billing unit
GM — per gram (weight)
RxCUI
1053346
UNII
SK47B8698T
Application #
M007
SPL Set ID
d22fb02f-09c4-476a-b6d6-d3a2fd30049d
Established class (EPC)
Calculi Dissolution Agent; Osmotic Activity
Mechanism of action
Magnesium Ion Exchange Activity
Physiologic effect
Increased Large Intestinal Motility; Inhibition Large Intestine Fluid/Electrolyte Absorption; Inhibition Small Intestine Fluid/Electrolyte Absorption
DEA schedule
Non-controlled
Marketing category
OTC MONOGRAPH DRUG
Marketing status
On market
FDA listing status
Listed (active directory)
Marketing start
2018-04-30
Route
ORAL, TOPICAL
Dosage form
GRANULE
Substance
MAGNESIUM SULFATE HEPTAHYDRATE
GCN Seq No
003022
GCN
09200
HICL code
001327
Ingredient (HICL)
Magnesium Sulfate
HIC1 code
D
Therapeutic class — broad (HIC1)
Biliary System/Gastro-Intestinal System
HIC2 code
D6
Therapeutic class — intermediate (HIC2)
Drugs Acting Principally On The Colon
HIC3 code
D6S
Therapeutic class — specific (HIC3)
Laxatives And Cathartics
AHFS code
56:12.00.00
AHFS class
Cathartics And Laxatives
FDB label name
EPSOM SALT GRANULES
FDB brand name
Epsom Salt
Legend status
O — Over-the-counter (OTC) drug or device
Why two NDCs?
The FDA registers this code as 46122-461-43 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 46122-0461-43. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.
🏷️ RxNorm drug class
This medicine belongs to the Osmotically acting laxatives class.
Drug family (ATC)
Osmotically acting laxatives, Magnesium, Electrolyte solutions
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.
🏭 Manufacturer & labeler
LabelerAmerisourceBergen (Good Neighbor Pharmacy) 46122
FDA applicationM007 (OTC MONOGRAPH DRUG)
Labeler code46122
First marketedApr 2018
Product typeHuman Otc Drug
Portfolio26 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.
🩺 Clinical
Label name EPSOM SALT GRANULES Ingredient Magnesium Sulfate
📗 Our plain-language guide HelloPharmacist
- It's being used to protect you and your baby from seizures related to your preeclampsia. Magnesium helps calm the nerve and muscle signals that can lead to seizures — it essentiall...
- I was told I'd be getting magnesium sulfate during my delivery. What is it actually doing for me?
- The most common ones are flushing, warmth, and sweating — many people describe a feeling of heat spreading through their body when the infusion starts. You might also feel drowsy o...
- What side effects should I expect from the IV magnesium?
Patient education
Supplement & herbal interactions
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.
💬 Questions about Epsom Salt?
Ask a pharmacist →
Ask a licensed pharmacist directly — free, answered by our team.
🧪 Inactive Ingredients / Excipients
Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.
From the label’s inactive-ingredient sectionnone
This is label-wide narrative text, not a normalized exact-product ingredient list. A label can cover multiple strengths or packages.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured
IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.
💲 Pricing
A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.
| Price system | Per g | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | $0.004 | $1.77 / 454 g |
| Medicaid paysCMS SDUD · 12 mo | $0.0106 | $4.81 / 454 g |
| Medicare drug plans payPart D · quarterly | No Part D plan price is available for this NDC in our data. | |
NADAC price history (per g) — tap or hover for the price & month
Flat over the last 12 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.
🔁 Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Epsom Salt 1 g/g 70677-0038-01 | Strategic | 454 g | $0.004 | — | Discontinued | save 2% |
| Epsom Salt 1 g/gthis 46122-0461-43 | AmerisourceBergen | 454 g | $0.004 | — | Availability likely | — |
| Epsom Salt 1 g/g 62011-0362-01 | Strategic | 454 g | $0.004 | — | FDA listed | — |
| Epsom Salt 1 g/g 70000-0021-01 | Cardinal | 454 g | $0.004 | — | Availability likely | — |
| Epsom Salt 1 g/g 70677-1210-01 | Strategic | 454 g | $0.004 | — | Availability likely | — |
| Epsom Salt 1 g/g 00363-0395-01 | Walgreens | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 00363-0942-05 | Walgreen | 2721 g | — | — | Discontinued | — |
| Humco Epson Salt 1000 mg/g 00395-0807-16 | Humco | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 00869-0602-10 | Vi-Jon, | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 11673-0200-45 | Target | 1800 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 21130-0602-01 | Safeway | 1814 g | — | — | Discontinued | — |
| Epsom Salt 1 g/g 21130-0970-04 | Safeway, | 1814 g | — | — | FDA listed | — |
| Epsom Salts 100 g/100g 30400-0210-01 | Jell | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 36800-0395-01 | TOP | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 36800-0602-07 | Topco | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 41163-0602-07 | United | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 41250-0602-07 | Meijer, | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 41250-0929-07 | Meijer, | 1814 g | — | — | Discontinued | — |
| Epsom Salt 1 g/g 42507-0962-06 | Hy-Vee, | 454 g | — | — | FDA listed | — |
| 365 Whole Foods Market Epsom Salt 1 g/g 42681-0060-01 | Whole | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 42681-6412-01 | Whole | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 42681-6413-01 | Whole | 2720 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 49035-0395-01 | EQUATE | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 49580-0394-01 | P | 454 g | — | — | FDA listed | — |
| ROYAL Epsom Salt 1 kg/kg 50438-0001-00 | Filo | 1.8 kg | — | — | FDA listed | — |
| Epsom Salt 1 g/g 50804-0395-01 | Good | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 51316-0072-45 | CVS | 1800 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 51316-0395-04 | CVS | 1810 g | — | — | FDA listed | — |
| NATURAL Epsom Salt 100 g/100g 52000-0420-16 | Universal | 454 g | — | — | FDA listed | — |
| Epsom Salts 100 g/100g 52862-0202-01 | International | 454 g | — | — | FDA listed | — |
| Epsom Salts 100 g/100g 52862-0203-01 | International | 454 g | — | — | FDA listed | — |
| Sal Inglesa EPSOM SALT 1 g/g 53145-0580-01 | Menper | 80 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 53943-0602-07 | Discount | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 55301-0602-07 | Your | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 55319-0572-02 | Family | 907 g | — | — | FDA listed | — |
| Rapidol Sal Inglesa 1 g/g 55758-0419-03 | Pharmadel | 80 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 55910-0038-07 | Old | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 56062-0952-07 | Publix | 1814 g | — | — | FDA listed | — |
| Epsom Salts 100 g/100g 58037-0008-01 | NEW | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 63941-0602-07 | Valu | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 67091-0352-04 | WinCo | 1.81 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 68016-0732-01 | Chain | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 68196-0395-07 | Sam's | 3175 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 69256-0395-01 | Harris | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 69842-0602-04 | CVS | 2720 g | — | — | Discontinued | — |
| Epsom Salt 1 g/g 70000-0614-01 | Cardinal | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 72036-0602-01 | HARRIS | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 72288-0602-04 | Amazon.com | 2720 g | — | — | Discontinued | — |
| Epsom Salt 1 g/g 72476-0602-04 | Retail | 1814 g | — | — | FDA listed | — |
| NuValu Epsom Salt 100 g/100g 72520-0001-12 | J | 624 g | — | — | FDA listed | — |
| NuValu Epsom Salt 100 g/100g 72520-0002-12 | J | 454 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 76162-0029-80 | Topco | 3630 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 82442-0017-45 | Target | 1800 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 83324-0175-04 | Chain | 1814 g | — | — | FDA listed | — |
| Epsom Salt 1 g/g 85828-0602-07 | Grocery | 1814 g | — | — | FDA listed | — |
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.
⏳ Availability & generic status
🏛️
2018
On the market since
Apr 2018
📍
2026
Currently FDA-listed
8 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found
We did not find an FDA-approved generic match for this exact strength, form and route.
Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.
🗺️ Medicaid utilization & spend
📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for 46122-0461-43, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
30
Units reimbursed last 4 qtrs
16.8K
Gross reimbursed last 4 qtrs
$177.53
Avg / prescription
$5.92
Avg / unit
$0.0106
Latest quarter Q1 2026
0Rx
Medicaid pays / g
$0.0106
gross reimbursed
vs
NADAC / g
$0.0039
acquisition cost
=
Spread
+$0.0067
+172% vs cost
What Medicaid paid per g (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
Fee-for-service · 0 Rx Managed care · 30 Rx
State Medicaid map
Units reimbursed · per 100k residents
43.143.1
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
Prescriptions—
Units—
Reimbursed—
🏆 Top states by units · per 100k residents
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.
💊 Medicaid utilization by pack size
Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
Drug total (last 4 qtrs): 30 Rx · 16,798 units · $178 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.
🔬 Reported adverse events (FAERS)
Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Epsom Salt — the ingredient across all brands.
Top reported reactions
Age at onset
Reporter sex
Male · 44%
Female · 56%
Serious outcomes
Reports over time (by year) — tap or hover for the count & year
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.
📦 Packaging — all sizes for this product
| Package NDC | Description | Per unit | Per pack | Marketing start | Status |
|---|---|---|---|---|---|
| 46122-0461-19 | 1814 g in 1 POUCH (46122-461-19) | — | — | 2018-04-30 | Discontinued by firm |
| 46122-0461-43 You're viewing this | 454 g in 1 POUCH (46122-461-43) | $0.0039 / g | $1.77 | 2018-05-30 | Active |
You're viewing the smallest of 2 pack sizes for this product.
Pack size FAQ
What quantity is in NDC 46122-0461-43?
NDC 46122-0461-43 contains 454 g — 454 g in 1 pouch.
What is the difference between NDC 46122-0461-43 and NDC 46122-0461-19?
Both are Epsom Salt 1 g/g Granule — the drug itself is identical. NDC 46122-0461-43 is the 454 g package, while NDC 46122-0461-19 is the 1814 g package.
What NDC number is used to bill for this package of Epsom Salt 1 g/g Granule?
Bill NDC 46122-0461-43 — the 11-digit billing format is 46122046143. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.
Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.
📄 FDA label — Drug Facts FDA SPL
The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage
⏱️ Dosage and Administration
⚠️ Warnings
🧪 Active Ingredient
🧪 Inactive Ingredients
🎯 Purpose
🎯 Indications and Usage ▾
Uses relieves occasional constipation (irregularity) generally produces bowel movement in 1/2 to 6 hours
⏱️ Dosage and Administration ▾
Directions do not exceed more than 2 doses per day; if necessary repeat dosage in 4 hours age dose adults and children 12 years and older 2-4 level teaspoons dissolved in a full glass (8oz) of water children 6 to 11 years 1-2 level teaspoons dissolved in a full glass (8oz) of water Not recommended for children under 6 years of age.
⚠️ Warnings ▾
Warnings Ask a doctor before use if you have kidney disease a magnesium restricted diet stomach pain, nausea or vomiting noticed a sudden change in bowel habits that lasts more than 2 weeks Ask a doctor or pharmacist before use if you are presently taking a prescription drug. When using this product do not use more than directed Stop use and ask a doctor if you have rectal bleeding or failure to have a bowel movement after use. This may indicate a serious condition. you need to use a laxative for more than 1 week If pregnancy or breast-feeding, ask a health professional before use.
Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.
🧪 Active Ingredient ▾
Active ingredient Magnesium sulfate USP 100%
🧪 Inactive Ingredients ▾
Inactive ingredient none
🎯 Purpose ▾
Purpose Saline laxative
No label section mentions that — try another word, or open the full label on DailyMed below.
Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA.
Prefer the government’s original formatting? View this label on DailyMed ↗
For educational and professional reference only — not medical advice. Pricing reflects published
NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.