Epsom Salt Granule, For Solution
NDC Package 42507-962-06

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

Epsom Salt (magnesium sulfate) granules is do not exceed recommended daily dosagedrink a full glass (8 ounces) of liquid with each dosemay be taken as a single daily dose or in divided dosesdissolve the dose in 8 ounces of water. This formulation utilizes a granule, for solution delivery system. Marketed by Hy-vee, Inc., this product is identified by NDC 42507-962 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
42507-962-06
Package Description
454 g in 1 POUCH
Product Code
42507-962
11-Digit Billing Format
42507096206
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Epsom Salt
Non-Proprietary Name
Magnesium Sulfate
Substance Name
Magnesium Sulfate Heptahydrate
Dosage Form
Granule, For Solution - A small medicinal particle or grain made available in its more stable dry form, to be reconstituted with solvent just before dispensing; the granules are so prepared to contain not only the medicinal agent, but the colorants, flavorants, and any other desired pharmaceutic ingredient.
Administration Route
  • Oral - Administration to or by way of the mouth.
  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
MAGNESIUM SULFATE HEPTAHYDRATE 1 g/g
Pharmacologic Class
Usage Information
Do not exceed recommended daily dosagedrink a full glass (8 ounces) of liquid with each dosemay be taken as a single daily dose or in divided dosesdissolve the dose in 8 ounces of water. Lemon juice may be added to improve the taste.adults and children 12 years and over - 2 to 6 level teaspoons (10 to 30 grams) dailychildren 6 to under 12 years - 1 to 2 level teaspoons (5 to 10 grams) dailychildren under 6 years - consult a doctor

Regulatory & Marketing

Labeler Name
Hy-vee, Inc.
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-24-2025
Listing Expiration
12-31-2027
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (42507-962). Click a package code to view its specific billing and regulatory data.

42507-962-07
1810 g in 1 POUCH

* 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 42507-962-06 identifies a specific commercial package of 454 g in 1 pouch of Epsom Salt, a human over the counter drug labeled by Hy-vee, Inc.. This granule, for solution is formulated for oral; topical use and contains magnesium sulfate heptahydrate 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 Hy-vee, Inc. on November 24, 2025. The current certification is valid through December 31, 2027.

How is this Hy-vee, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42507096206. 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 (5-3-2)
42507-962-06
11-Digit CMS (5-4-2)
42507-0962-06

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