NDC Package 17856-0489-5 Polyethylene Glycol 3350

View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
Frequently Asked Questions

Package Information

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

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:

17856-0489-5

Package Description:

50 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE / 8.5 g in 1 CUP, UNIT-DOSE

Product Code:

17856-0489

Proprietary Name:

Polyethylene Glycol 3350

Usage Information:

This medication is used to treat occasional constipation. It works by holding water in the stool to soften the stool and increases the number of bowel movements. It is known as an osmotic-type laxative. This medication is also available without a prescription. If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. (See also Precautions.)

11-Digit NDC Billing Format:

17856048905

NDC to RxNorm Crosswalk:

RxCUI: 876193 - polyethylene glycol 3350 17 GM Powder for Oral Solution

RxCUI: 876193 - polyethylene glycol 3350 17000 MG Powder for Oral Solution

Labeler Name:

Atlantic Biologicals Corp.

Sample Package:

Start Marketing Date:

08-07-2018

Listing Expiration Date:

12-31-2019

Exclude Flag:

Code Structure:

17856 - Atlantic Biologicals Corp.
- 17856-0489 - Polyethylene Glycol 3350
  - 17856-0489-5 - 50 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE / 8.5 g in 1 CUP, UNIT-DOSE

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 Code	Package Description
17856-0489-1	50 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE / 17 g in 1 CUP, UNIT-DOSE
17856-0489-2	72 BAG in 1 BOX, UNIT-DOSE / 17 g in 1 BAG
17856-0489-3	72 BAG in 1 BOX, UNIT-DOSE / 4 g in 1 BAG
17856-0489-4	72 BAG in 1 BOX, UNIT-DOSE / 4.25 g in 1 BAG
17856-0489-6	72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE / 8.5 g in 1 CUP, UNIT-DOSE

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 17856-0489-5?

The NDC Packaged Code 17856-0489-5 is assigned to a package of 50 cup, unit-dose in 1 box, unit-dose / 8.5 g in 1 cup, unit-dose of Polyethylene Glycol 3350, labeled by Atlantic Biologicals Corp.. The product's dosage form is and is administered via form.

Is NDC 17856-0489 included in the NDC Directory?

No, Polyethylene Glycol 3350 with product code 17856-0489 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Atlantic Biologicals Corp. on August 07, 2018 and its listing in the NDC Directory is set to expire on December 31, 2019 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 17856-0489-5?

The 11-digit format is 17856048905. 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-4-1	17856-0489-5	5-4-2	17856-0489-05

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