Saline Laxative Enema
NDC Package 0904-6320-78

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

Package Information

Saline Laxative enemas is do not use more unless directed by a doctor. This formulation utilizes a enema delivery system. Marketed by Major Pharmaceuticals, this product is identified by NDC 0904-6320 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
0904-6320-78
Package Description
133 mL in 1 BOTTLE
Product Code
0904-6320
11-Digit Billing Format
00904632078
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
133 ML
RxNorm Crosswalk
  • RxCUI: 283100 - sodium phosphate, dibasic 7 GM / sodium phosphate, monobasic 19 GM in 118 ML Enema
  • RxCUI: 283100 - sodium phosphate, dibasic 59.3 MG/ML / sodium phosphate, monobasic 161 MG/ML Enema
  • RxCUI: 283100 - sodium phosphate, dibasic 3.5 GM / sodium phosphate, monobasic 9.5 GM per 59 ML Enema
  • RxCUI: 283100 - sodium phosphate, dibasic 7 GM / sodium phosphate, monobasic 19 GM per 118 ML Enema

Clinical Specifications

Proprietary Name
Saline Laxative
Non-Proprietary Name
Saline Laxative
Substance Name
Sodium Phosphate, Dibasic, Unspecified Form; Sodium Phosphate, Monobasic, Unspecified Form
Dosage Form
Enema - A rectal preparation for therapeutic, diagnostic, or nutritive purposes.
Administration Route
Rectal - Administration to the rectum.
Active Ingredient(s)
Usage Information
Do not use more unless directed by a doctor. See Warnings. adults & children 12 years and over one bottle once daily children 2 to under 12 years ½ bottle once daily children under 2 years do not use

Regulatory & Marketing

Labeler Name
Major Pharmaceuticals
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-11-2013
End Marketing Date
04-30-2027
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 0904-6320-78 identifies a specific commercial package of 133 ml in 1 bottle of Saline Laxative, a human over the counter drug labeled by Major Pharmaceuticals. This enema is formulated for rectal use and contains sodium phosphate, dibasic, unspecified form; sodium phosphate, monobasic, unspecified form 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 Major Pharmaceuticals on July 11, 2013.

How is this Major Pharmaceuticals product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00904632078. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 133 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)
0904-6320-78
11-Digit CMS (5-4-2)
00904-6320-78

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