Walgreen Fiber Lax Tablet, Film Coated
NDC Package 0363-0120-14

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Walgreen Fiber Lax (calcium polycarbophil) tablets is polycarbophil is used to treat constipation. This formulation utilizes a tablet, film coated delivery system. Marketed by Walgreens Co., this product is identified by NDC 0363-0120 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
0363-0120-14
Package Description
140 TABLET, FILM COATED in 1 BOTTLE
Product Code
0363-0120
11-Digit Billing Format
00363012014
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
140 EA
RxNorm Crosswalk
  • RxCUI: 308934 - calcium polycarbophil 625 MG Oral Tablet
  • RxCUI: 308934 - calcium polycarbophil 625 MG (as polycarbophil 500 MG) Oral Tablet

Clinical Specifications

Proprietary Name
Walgreen Fiber Lax
Non-Proprietary Name
Calcium Polycarbophil
Substance Name
Calcium Polycarbophil
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
CALCIUM POLYCARBOPHIL 625 mg/1
Usage Information
Polycarbophil is used to treat constipation. It is known as a bulk-forming laxative. It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass.

Regulatory & Marketing

Labeler Name
Walgreens Co.
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-21-2019
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-0120-14 identifies a specific commercial package of 140 tablet, film coated in 1 bottle of Walgreen Fiber Lax, a human over the counter drug labeled by Walgreens Co.. This product is billed for "EA" each discreet unit and contains an estimated amount of 140 billable units per package. This tablet, film coated is formulated for oral use and contains calcium polycarbophil as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Walgreens Co. on May 21, 2019. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

Polycarbophil is used to treat constipation. It is known as a bulk-forming laxative. It increases the bulk in your stool, an effect that helps to cause movement of the intestines. It also works by increasing the amount of water in the stool, making the stool softer and easier to pass.

How is this Walgreens Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363012014. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 140 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0363-0120-14
11-Digit CMS (5-4-2)
00363-0120-14

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.