Good Neighbor Pharmacy Single Saline Laxative
NDC Package 46122-364-28

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.

Good Neighbor Pharmacy Single Saline Laxative is single daily dosageDo not use more unless directed by a doctor.See Warnings.Do not use if taking another sodium phosphate product.Adults and Children 12 years old and older1 bottle once dailyChildren 2 to under 12 years old1/2 bottle once dailyChildren under 2 yearsDO NOT USE. Marketed by Amerisourcebergen, this product is identified by NDC 46122-364 and is authorized under FDA application part334.

Identification & Billing

NDC Package Code
46122-364-28
Package Description
1 BOTTLE in 1 CARTON / 133 mL in 1 BOTTLE
Product Code
46122-364
11-Digit Billing Format
46122036428
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
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
Good Neighbor Pharmacy Single Saline Laxative Laxative
Dosage Form
-
Usage Information
Single daily dosageDo not use more unless directed by a doctor.See Warnings.Do not use if taking another sodium phosphate product.Adults and Children 12 years old and older1 bottle once dailyChildren 2 to under 12 years old1/2 bottle once dailyChildren under 2 yearsDO NOT USE

Regulatory & Marketing

Labeler Name
Amerisourcebergen
FDA Application #
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
03-15-2016
Listing Expiration
12-31-2021
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 (46122-364). Click a package code to view its specific billing and regulatory data.

46122-364-36
2 BOTTLE in 1 CARTON / 133 mL in 1 BOTTLE

* 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 46122-364-28 identifies a specific commercial package of 1 bottle in 1 carton / 133 ml in 1 bottle of Good Neighbor Pharmacy Single Saline Laxative Laxative, labeled by Amerisourcebergen. 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 Amerisourcebergen on March 15, 2016. The current certification is valid through December 31, 2021.

How is this Amerisourcebergen product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 46122036428. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
46122-364-28
11-Digit CMS (5-4-2)
46122-0364-28

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