Epsom Salts Granule
NDC Package 52862-202-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Epsom Salts (magnesium sulfate) granules is ask a doctor or pharmacist before use if you are taking any other drug. This formulation utilizes a granule delivery system. Marketed by International Wholesale Inc., this product is identified by NDC 52862-202 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
52862-202-01
Package Description
454 g in 1 POUCH
Product Code
52862-202
11-Digit Billing Format
52862020201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Epsom Salts
Non-Proprietary Name
Magnesium Sulfate
Substance Name
Magnesium Sulfate Heptahydrate
Dosage Form
Granule - A small particle or grain.
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 100 g/100g
Pharmacologic Class
Usage Information
Ask a doctor or pharmacist before use if you are taking any other drug. Take this product 2 or more hours before or after any other drugs. Laxative may affect how other drugs work.

Regulatory & Marketing

Labeler Name
International Wholesale Inc.
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-09-2019
Listing Expiration
12-31-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 52862-202-01 identifies a specific commercial package of 454 g in 1 pouch of Epsom Salts, a human over the counter drug labeled by International Wholesale Inc.. This granule 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 International Wholesale Inc. on July 09, 2019. The current certification is valid through December 31, 2026.

How is this International Wholesale Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52862020201. 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)
52862-202-01
11-Digit CMS (5-4-2)
52862-0202-01

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