Walgreens Children Glycerin
NDC Package 0363-0440-25

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Walgreens Children Glycerin is children 2 to under 6 years...........carefully insert 1 suppository well into the rectum and retain for 15 minutes; it need not melt to produce laxative action. Marketed by Walgreens, this product is identified by NDC 0363-0440 and is authorized under FDA application part334.

Identification & Billing

NDC Package Code
0363-0440-25
Package Description
62.5 g in 1 JAR
Product Code
0363-0440
11-Digit Billing Format
00363044025

Clinical Specifications

Proprietary Name
Walgreens Children Glycerin Laxative
Dosage Form
-
Usage Information
Children 2 to under 6 years...........carefully insert 1 suppository well into the rectum and retain for 15 minutes; it need not melt to produce laxative action.  Do not exceed 1 suppository daily or as directed by a doctor.children under 2 years..................ask a doctor

Regulatory & Marketing

Labeler Name
Walgreens
FDA Application #
part334
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
10-06-2014
Listing Expiration
12-31-2018
Exclude Flag
I
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (0363-0440). Click a package code to view its specific billing and regulatory data.

0363-0440-12
62.5 g in 1 JAR

* 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 0363-0440-25 identifies a specific commercial package of 62.5 g in 1 jar of Walgreens Children Glycerin Laxative, labeled by Walgreens. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Walgreens on October 06, 2014. The current certification is valid through December 31, 2018.

How is this Walgreens product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363044025. 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)
0363-0440-25
11-Digit CMS (5-4-2)
00363-0440-25

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