Epsom Salt Granule
NDC Package 49035-395-04
Package Information
Epsom Salt granules is do not exceed more than 2 doses per day; if necessary repeat dosage in 4 hoursagedose adults and children 12 years and older2-4 level teaspoons dissolved in a full glass (8oz) of water children 6 to 11 years1-2 level teaspoons dissolved in a full glass (8oz) of waterNot recommended for children under 6 years of age. This formulation utilizes a granule delivery system. Marketed by Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc), this product is identified by NDC 49035-395 and is authorized under FDA application M007.
Identification & Billing
- RxCUI: 1053346 - Epsom salt 100 % Granules for Oral Solution
- RxCUI: 1053346 - magnesium sulfate 1000 MG Granules for Oral Solution
- RxCUI: 1053346 - magnesium sulfate 100 % Granules for Oral Solution
Clinical Specifications
- 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.
- Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
- Increased Large Intestinal Motility - [PE] (Physiologic Effect)
- Inhibition Large Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
- Inhibition Small Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
- Magnesium Ion Exchange Activity - [MoA] (Mechanism of Action)
- Osmotic Activity - [MoA] (Mechanism of Action)
- Osmotic Laxative - [EPC] (Established Pharmacologic Class)
- Stimulation Large Intestine Fluid/Electrolyte Secretion - [PE] (Physiologic Effect)
Regulatory & Marketing
Hierarchy Structure
- 49035 - Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc)
- 49035-395 - Epsom Salt
- 49035-395-04 - 1814 g in 1 POUCH
- 49035-395 - Epsom Salt
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 (49035-395). Click a package code to view its specific billing and regulatory data.
* 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 49035-395-04 identifies a specific commercial package of 1814 g in 1 pouch of Epsom Salt, a human over the counter drug labeled by Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc). This granule is formulated for oral; topical use and contains magnesium sulfate, unspecified 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 Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc) on November 30, 2016. The current certification is valid through December 31, 2027.
How is this Equate (wal-mart Stores, Inc.) (see Also Wal-mart Inc) product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 49035039504. 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:
Note: The zero is added to the Product segment to maintain the 5-4-2 structure.
