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  5. NDC Package Code: 11822-0604-2 Rite Aid Laxative Saline Laxative

NDC Package 11822-0604-2 Rite Aid Laxative Saline Laxative

Sodium Phosphate,Dibasic,Unspecified Form And Sodium Phosphate,Monobasic,Unspecified Form - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
11822-0604-2
Package Description:
6 BOTTLE, PLASTIC in 1 CARTON / 133 mL in 1 BOTTLE, PLASTIC
Product Code:
11822-0604
Proprietary Name:
Rite Aid Laxative Saline Laxative
Non-Proprietary Name:
Sodium Phosphate, Dibasic, Unspecified Form And Sodium Phosphate, Monobasic, Unspecified Form
Substance Name:
Sodium Phosphate, Dibasic, Unspecified Form; Sodium Phosphate, Monobasic, Unspecified Form
Usage Information:
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 older1 bottle once dailyChildren 2 to under 12 years of ageUse Pediatric EnemaChildren under 2 years of ageDO NOT USE
11-Digit NDC Billing Format:
11822060402
NDC to 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
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Rite Aid
    Dosage Form:
    Enema - A rectal preparation for therapeutic, diagnostic, or nutritive purposes.
    Administration Route(s):
  • Rectal - Administration to the rectum.
    • Active Ingredient(s):
  • SODIUM PHOSPHATE, DIBASIC, UNSPECIFIED FORM 7 g/118mL
  • SODIUM PHOSPHATE, MONOBASIC, UNSPECIFIED FORM 19 g/118mL
    • Sample Package:
    No
    FDA Application Number:
    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:
    12-03-2019
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    11822-0604-12 BOTTLE, PLASTIC in 1 CARTON / 133 mL in 1 BOTTLE, PLASTIC
    11822-0604-312 BOTTLE, PLASTIC in 1 CARTON / 133 mL in 1 BOTTLE, PLASTIC

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 11822-0604-2?

    The NDC Packaged Code 11822-0604-2 is assigned to a package of 6 bottle, plastic in 1 carton / 133 ml in 1 bottle, plastic of Rite Aid Laxative Saline Laxative, a human over the counter drug labeled by Rite Aid. The product's dosage form is enema and is administered via rectal form.

    Is NDC 11822-0604 included in the NDC Directory?

    Yes, Rite Aid Laxative Saline Laxative with product code 11822-0604 is active and included in the NDC Directory. The product was first marketed by Rite Aid on December 03, 2019 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 11822-0604-2?

    The 11-digit format is 11822060402. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-4-1 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-4-111822-0604-25-4-211822-0604-02