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NDC 62011-0153-04 health mart clearlax 17 g/17g Details
health mart clearlax 17 g/17g
health mart clearlax is a ORAL POWDER, FOR SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. 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: 62011-0153-04Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Polyethylene Glycol 3350
Product Information
NDC | 62011-0153 |
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Product ID | 62011-0153_34f27d36-c1ee-4f6e-a082-1dc4c57b4b75 |
Associated GPIs | 46600033002910 |
GCN Sequence Number | 041843 |
GCN Sequence Number Description | polyethylene glycol 3350 POWDER 17 G/DOSE ORAL |
HIC3 | D6S |
HIC3 Description | LAXATIVES AND CATHARTICS |
GCN | 86212 |
HICL Sequence Number | 022819 |
HICL Sequence Number Description | POLYETHYLENE GLYCOL 3350 |
Brand/Generic | Generic |
Proprietary Name | health mart clearlax |
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 | Strategic Sourcing Services LLC |
Pharmaceutical Class | Osmotic Activity [MoA], Osmotic Laxative [EPC], Stimulation Large Intestine Fluid/Electrolyte Secretion [PE] |
DEA Schedule | n/a |
Marketing Category | ANDA |
Application Number | ANDA090685 |
Listing Certified Through | 2024-12-31 |
Package
Package Images

NDC 62011-0153-04 (62011015304)
NDC Package Code | 62011-0153-4 |
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Billing NDC | 62011015304 |
Package | 119 g in 1 BOTTLE (62011-0153-4) |
Marketing Start Date | 2015-04-15 |
NDC Exclude Flag | N |
Pricing Information | |
Price Per Unit | 0.03128 |
Pricing Unit | GM |
Effective Date | 2024-02-21 |
NDC Description | HM CLEARLAX POWDER |
Pharmacy Type Indicator | C/I |
OTC | Y |
Explanation Code | 1, 5 |
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
pharmacies include
independent retail community pharmacies and chain pharmacies. The prices
are updated on a
weekly and monthly basis
Standard Product Labeling (SPL)/Prescribing Information SPL 2520cefd-6fa3-4bdf-9122-0ceab3fe5085 Details
Use
Warnings
Allergy alert: Do not use if you are allergic to polyethylene glycol
Ask a doctor before use if you have
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- nausea, vomiting or abdominal pain
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- a sudden change in bowel habits that lasts over 2 weeks
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- irritable bowel syndrome
Directions
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- do not take more than directed unless advised by your doctor
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- the bottle top is a measuring cap marked to contain 17 grams of powder when filled to the indicated line (white section in cap)
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- adults and children 17 years of age and older:
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- use once a day
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- fill to top of white section in cap which is marked to indicate the correct dose (17 g)
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- stir and dissolve in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drink
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- do not combine with starch-based thickeners used for difficulty swallowing
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- ensure that the powder is full dissolved before drinking
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- do not drink if there are any clumps
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- do not use more than 7 days
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- children 16 years of age or under: ask a doctor
Other information
Principal Display Panel
INGREDIENTS AND APPEARANCE
HEALTH MART CLEARLAX
polyethylene glycol 3350 powder, for solution |
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Labeler - Strategic Sourcing Services LLC (116956644) |
Revised: 6/2022
Document Id: 34f27d36-c1ee-4f6e-a082-1dc4c57b4b75
Set id: 2520cefd-6fa3-4bdf-9122-0ceab3fe5085
Version: 11
Effective Time: 20220621