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NDC 63868-0380-45 QUALITY CHOICE SINGLE SALINE 7; 19 g/118mL; g/118mL Details

QUALITY CHOICE SINGLE SALINE 7; 19 g/118mL; g/118mL

QUALITY CHOICE SINGLE SALINE is a RECTAL ENEMA in the HUMAN OTC DRUG category. It is labeled and distributed by CDMA. The primary component is SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM; SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM.

Product Information

NDC	63868-0380
Product ID	63868-380_6afc2d36-2280-4596-b2ac-adda2d44f2f5
Associated GPIs	46109902105100
GCN Sequence Number	003029
GCN Sequence Number Description	sodium phosphate,mono-dibasic ENEMA 19G-7G/118 RECTAL
HIC3	Q3S
HIC3 Description	LAXATIVES, LOCAL/RECTAL
GCN	66559
HICL Sequence Number	001330
HICL Sequence Number Description	SODIUM PHOSPHATE,MONOBASIC/SODIUM PHOSPHATE,DIBASIC
Brand/Generic	Generic
Proprietary Name	QUALITY CHOICE SINGLE SALINE
Proprietary Name Suffix	LAXATIVE
Non-Proprietary Name	SODIUM PHOSPHATE, DIBASIC and SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM
Product Type	HUMAN OTC DRUG
Dosage Form	ENEMA
Route	RECTAL
Active Ingredient Strength	7; 19
Active Ingredient Units	g/118mL; g/118mL
Substance Name	SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM; SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM
Labeler Name	CDMA
Pharmaceutical Class	n/a
DEA Schedule	n/a
Marketing Category	OTC MONOGRAPH NOT FINAL
Application Number	part334
Listing Certified Through	2024-12-31

Package

Package Images

NDC 63868-0380-45 (63868038045)

Pricing Information
NDC Package Code	63868-380-45
Billing NDC	63868038045
Package	1 BOTTLE in 1 CARTON (63868-380-45) / 133 mL in 1 BOTTLE
Marketing Start Date	2010-06-01
NDC Exclude Flag	N
Price Per Unit	0.00626
Pricing Unit	ML
Effective Date	2022-11-23
NDC Description	QC READY TO USE ENEMA
Pharmacy Type Indicator	C/I
OTC	Y
Explanation Code	1, 5
Classification for Rate Setting	G
As of Date	2022-11-23

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 64950e20-91a8-4914-81aa-850f1a027ca6 Details

SPL UNCLASSIFIED SECTION

Drug Facts

SPL UNCLASSIFIED SECTION

Active ingredients (in each 118mL delivered dose)	Purpose
Dibasic Sodium Phosphate 7 g	Saline laxative
Monobasic Sodium Phosphate 19 g	Saline laxative

Use

relieves occasional constipation
this product generally produces bowel movement in 1 to 5 minutes

Warnings

Dosage warning

Using more than one enema in 24 hours can be harmful.

For rectal use only.

Do not use

on children under 2 years of age

Ask a doctor before use if you

have already used a laxative for more than 3 days
have kidney disease, have heart problems, or are dehydrated
are 55 years of age or older
are on a sodium-restricted diet
have abdominal pain, nausea, or vomiting
have a sudden change in bowel habits lasting more than 2 weeks

Ask a doctor or pharmacist before use if you are taking any other drug. Take this product two or more hours before or after other drugs. Laxatives may affect how other drugs work.

When using this product

do not use more than directed. Serious side effects may occur from excess dosage
do not use for more than 3 days, without asking a doctor

Stop use and ask a doctor if

you have rectal bleeding
you have no bowel movement within 30 minutes of enema use
you have symptoms of dehydration (thirstiness, dizziness, vomiting, urinating less often than normal)

These symptoms may indicate a serious condition.

If pregnant or breast-feeding, ask a health professional before use.

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away: 800-222-1222.

Directions (or as directed by a doctor)

Single daily dosage (per 24 hours)

Do not use if taking another sodium phosphate product.

Do not use more unless directed by a doctor. See Warnings.

Adults and children 12 years of age and older	1 bottle once daily
Children 2 to under 12 years of age	Use Pediatric Enema
Children under 2 years of age	DO NOT USE

Other information

each 118 ml contains sodium 4.3 g
store at 15 to 30°C (59 to 86°F)
additional liquids by mouth are recommended while using this product
Tamper Evident: DO NOT USE IF TOP OR BOTTOM FLAP OF CARTON IS TORN OR MISSING.

Inactive ingredients

benzalkonium chloride, disodium EDTA, purified water

Questions or comments?

1-866-323-0107

SPL UNCLASSIFIED SECTION

Distributed by C.D.M.A., Inc.©

43157 W 9 Mile Rd

Novi, MI 48375

PRINCIPAL DISPLAY PANEL - 133 mL Bottle Carton

NDC# 63868-380-45

QC®

QUALITY

CHOICE

* Compare to the

active ingredients

in FLEET ® Enema

Enema

Laxative

Complete, Ready-to-Use

SODIUM PHOSPHATES

RECTAL SOLUTION

Not Made

with Natural

Rubber Latex

Comfortable,

Lubricated Tip

Works In

Minutes

1

Bottle

4.5 Fl Oz (133 mL)

Principal Display Panel - 133 mL Bottle Carton

INGREDIENTS AND APPEARANCE

QUALITY CHOICE SINGLE SALINE LAXATIVE

sodium phosphate, dibasic and sodium phosphate, monobasic, unspecified form enema

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:63868-380
Route of Administration	RECTAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM (UNII: GR686LBA74) (PHOSPHATE ION - UNII:NK08V8K8HR, SODIUM CATION - UNII:LYR4M0NH37)	SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM	7 g in 118 mL
SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM (UNII: 3980JIH2SW) (PHOSPHATE ION - UNII:NK08V8K8HR, SODIUM CATION - UNII:LYR4M0NH37)	SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM	19 g in 118 mL

Ingredient Name	Strength
Inactive Ingredients
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7)
EDETATE DISODIUM (UNII: 7FLD91C86K)
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date
Packaging
1	NDC:63868-380-45	1 in 1 CARTON	06/01/2010
1		133 mL in 1 BOTTLE; Type 0: Not a Combination Product
2	NDC:63868-380-90	2 in 1 CARTON	06/01/2010
2		133 mL in 1 BOTTLE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC MONOGRAPH NOT FINAL	part334	06/01/2010

Labeler - CDMA (011920774)

Name	Address	ID/FEI	Business Operations
Establishment
Natureplex LLC		062808196	MANUFACTURE(63868-380)

Revised: 11/2022

Document Id: 6afc2d36-2280-4596-b2ac-adda2d44f2f5

Set id: 64950e20-91a8-4914-81aa-850f1a027ca6

Version: 2

Effective Time: 20221118

Search by Drug Name or NDC

NDC 63868-0380-45 QUALITY CHOICE SINGLE SALINE 7; 19 g/118mL; g/118mL Details

QUALITY CHOICE SINGLE SALINE 7; 19 g/118mL; g/118mL

Product Information

Package

Package Images

NDC 63868-0380-45 (63868038045)

Contents

Standard Product Labeling (SPL)/Prescribing Information SPL 64950e20-91a8-4914-81aa-850f1a027ca6 Details

SPL UNCLASSIFIED SECTION

SPL UNCLASSIFIED SECTION

Use

Warnings

Dosage warning

Do not use

Ask a doctor before use if you

When using this product

Stop use and ask a doctor if

Directions (or as directed by a doctor)

Other information

Inactive ingredients

Questions or comments?

SPL UNCLASSIFIED SECTION

PRINCIPAL DISPLAY PANEL - 133 mL Bottle Carton

INGREDIENTS AND APPEARANCE

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