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  5. NDC Package Code: 50804-395-04 Epsom Salt

NDC Package 50804-395-04 Epsom Salt

Granule Oral; Topical - 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:
50804-395-04
Package Description:
1814 g in 1 POUCH
Product Code:
50804-395
Proprietary Name:
Epsom Salt
Non-Proprietary Name:
Epsom Salt
Substance Name:
Magnesium Sulfate, Unspecified
Usage Information:
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.
11-Digit NDC Billing Format:
50804039504
Billing Unit:
GM - Billing unit of "gram" is used when a product is measured by its weight.
NDC to RxNorm Crosswalk:
1814 GM
NDC to RxNorm Crosswalk:
  • 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
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Good Sense (geiss, Destin & Dunn, Inc.)
    Dosage Form:
    Granule - A small particle or grain.
    Administration Route(s):
  • 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, UNSPECIFIED 1 g/g
    • Pharmacologic Class(es):
  • 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)
    • Sample Package:
    No
    FDA Application Number:
    M007
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    12-31-2017
    Listing Expiration Date:
    12-31-2025
    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
    50804-395-01454 g in 1 POUCH

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 50804-395-04?

    The NDC Packaged Code 50804-395-04 is assigned to a package of 1814 g in 1 pouch of Epsom Salt, a human over the counter drug labeled by Good Sense (geiss, Destin & Dunn, Inc.). The product's dosage form is granule and is administered via oral; topical form.This product is billed per "GM" gram and contains an estimated amount of 1814 billable units per package.

    Is NDC 50804-395 included in the NDC Directory?

    Yes, Epsom Salt with product code 50804-395 is active and included in the NDC Directory. The product was first marketed by Good Sense (geiss, Destin & Dunn, Inc.) on December 31, 2017 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 50804-395-04?

    The contents of this package are billed per "gm or gram", products billed per gram are products measured by weight. The calculated billable units for this package is 1814.

    What is the 11-digit format for NDC 50804-395-04?

    The 11-digit format is 50804039504. 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 5-3-2 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
    5-3-250804-395-045-4-250804-0395-04