Miralax
NDC Package 11523-7234-4

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.

Miralax is do not take more than directed unless advised by your doctorthe bottle top is a measuring cap marked to contain 17 grams of powder when filled to the indicated line (white section in cap)adults and children 17 years of age and older: fill to top of white section in cap which is marked to indicate the correct dose (17 g)stir and dissolve in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drinkuse once a dayuse no more than 7 dayschildren 16 years of age or under: ask a doctor. Marketed by Bayer Healthcare Llc., this product is identified by NDC 11523-7234 and is authorized under FDA application NDA022015.

Identification & Billing

NDC Package Code
11523-7234-4
Package Description
510 g in 1 BOTTLE, PLASTIC
Product Code
11523-7234
11-Digit Billing Format
11523723404
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
510 GM
RxNorm Crosswalk
  • RxCUI: 876193 - polyethylene glycol 3350 17 GM Powder for Oral Solution
  • RxCUI: 876193 - polyethylene glycol 3350 17000 MG Powder for Oral Solution
  • RxCUI: 876195 - MiraLAX 17 GM Powder for Oral Solution
  • RxCUI: 876195 - polyethylene glycol 3350 17000 MG Powder for Oral Solution [Miralax]
  • RxCUI: 876195 - Miralax 17 GM Powder for Oral Solution

Clinical Specifications

Proprietary Name
Miralax
Dosage Form
-
Usage Information
Do not take more than directed unless advised by your doctorthe bottle top is a measuring cap marked to contain 17 grams of powder when filled to the indicated line (white section in cap)adults and children 17 years of age and older: fill to top of white section in cap which is marked to indicate the correct dose (17 g)stir and dissolve in any 4 to 8 ounces of beverage (cold, hot or room temperature) then drinkuse once a dayuse no more than 7 dayschildren 16 years of age or under: ask a doctor

Regulatory & Marketing

Labeler Name
Bayer Healthcare Llc.
FDA Application #
NDA022015
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
02-01-2007
Listing Expiration
12-31-2027
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 (11523-7234). Click a package code to view its specific billing and regulatory data.

11523-7234-1
17 g in 1 PACKET
11523-7234-2
119 g in 1 BOTTLE, PLASTIC
11523-7234-3
238 g in 1 BOTTLE, PLASTIC
11523-7234-5
12 PACKET in 1 CARTON / 17 g in 1 PACKET
11523-7234-6
17 g in 1 PACKET
11523-7234-9
2 BOTTLE, PLASTIC in 1 CELLO PACK / 510 g in 1 BOTTLE, PLASTIC

* 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 11523-7234-4 identifies a specific commercial package of 510 g in 1 bottle, plastic of Miralax, labeled by Bayer Healthcare Llc.. 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 Bayer Healthcare Llc. on February 01, 2007. The current certification is valid through December 31, 2027.

How is this Bayer Healthcare Llc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11523723404. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 510 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 (5-4-1)
11523-7234-4
11-Digit CMS (5-4-2)
11523-7234-04

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