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  5. NDC Package Code: 52268-302-01 Nulytely

NDC Package 52268-302-01 Nulytely

Polyethylene Glycol 3350,Sodium Chloride,Sodium Bicarbonate And Potassium Chloride Powder, - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. 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:
52268-302-01
Package Description:
4 L in 1 PACKAGE
Product Code:
52268-302
Proprietary Name:
Nulytely
Non-Proprietary Name:
Polyethylene Glycol 3350, Sodium Chloride, Sodium Bicarbonate And Potassium Chloride
Substance Name:
Polyethylene Glycol 3350; Potassium Chloride; Sodium Bicarbonate; Sodium Chloride
Usage Information:
NuLYTELY is indicated for bowel cleansing prior to colonoscopy in adults and pediatric patients aged 6 months or greater.
11-Digit NDC Billing Format:
52268030201
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
4000 ML
NDC to RxNorm Crosswalk:
  • RxCUI: 801054 - PEG-3350 420 GM / sodium chloride 11.2 GM / sodium bicarbonate 5.72 GM / potassium chloride 1.48 GM Powder for Oral Solution
  • RxCUI: 801054 - polyethylene glycol 3350 420000 MG / potassium chloride 1480 MG / sodium bicarbonate 5720 MG / sodium chloride 11200 MG Powder for Oral Solution
  • RxCUI: 801054 - PEG 3350 420 GM / potassium chloride 1.48 GM / sodium bicarbonate 5.72 GM / sodium chloride 11.2 GM per 4 L Powder for Oral Solution
  • RxCUI: 801054 - PEG-3350 420 GM / KCl 1.48 GM / NaCl 11.2 GM / NaHCO3 5.72 GM Powder for 4 L Oral Solution
  • RxCUI: 801054 - POLYETHYLENE GLYCOL 3350 420000 MG / K+ Chloride 1480 MG / NaHCO3 5720 MG / NaCl 11200 MG Powder for Oral Solution
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Braintree Laboratories, Inc.
    Dosage Form:
    Powder, For Solution - An intimate mixture of dry, finely divided drugs and/or chemicals, which, upon the addition of suitable vehicles, yields a solution.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • POLYETHYLENE GLYCOL 3350 420 g/4L
  • POTASSIUM CHLORIDE 1.48 g/4L
  • SODIUM BICARBONATE 5.72 g/4L
  • SODIUM CHLORIDE 11.2 g/4L
    • Pharmacologic Class(es):
  • Increased Large Intestinal Motility - [PE] (Physiologic Effect)
  • Increased Large Intestinal Motility - [PE] (Physiologic Effect)
  • Inhibition Large Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Osmotic Activity - [MoA] (Mechanism of Action)
  • Osmotic Laxative - [EPC] (Established Pharmacologic Class)
  • Potassium Compounds - [CS]
  • Potassium Salt - [EPC] (Established Pharmacologic Class)
  • Stimulation Large Intestine Fluid/Electrolyte Secretion - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    NDA019797
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    04-22-1991
    End Marketing Date:
    08-31-2024
    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.

    Frequently Asked Questions

    What is NDC 52268-302-01?

    The NDC Packaged Code 52268-302-01 is assigned to a package of 4 l in 1 package of Nulytely, a human prescription drug labeled by Braintree Laboratories, Inc.. The product's dosage form is powder, for solution and is administered via oral form.

    Is NDC 52268-302 included in the NDC Directory?

    Yes, Nulytely with product code 52268-302 is active and included in the NDC Directory. The product was first marketed by Braintree Laboratories, Inc. on April 22, 1991.

    What is the NDC billing unit for package 52268-302-01?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume. The calculated billable units for this package is 4000.

    What is the 11-digit format for NDC 52268-302-01?

    The 11-digit format is 52268030201. 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
    5-3-252268-302-015-4-252268-0302-01