Saline Laxative Cherry Liquid
NDC Package 55910-339-24

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

Package Information

Saline Laxative Cherry (sodium phosphate, dibasic and sodium phosphate, monobasic, unspecified form) liquids is use as a laxative for relief of occasional constipationdilute dose in the table below with one glass (8 fl. This formulation utilizes a liquid delivery system. Marketed by Dolgencorp Inc., this product is identified by NDC 55910-339 and is authorized under FDA application part334.

Identification & Billing

NDC Package Code
55910-339-24
Package Description
1 BOTTLE in 1 CARTON / 45 mL in 1 BOTTLE
Product Code
55910-339
11-Digit Billing Format
55910033924
RxNorm Crosswalk
  • RxCUI: 1604338 - sodium phosphate, dibasic 2.7 GM / sodium phosphate, monobasic 7.2 GM in 45 mL Oral Solution
  • RxCUI: 1604338 - sodium phosphate, dibasic 60 MG/ML / sodium phosphate, monobasic 160 MG/ML Oral Solution
  • RxCUI: 1604338 - sodium phosphate, dibasic 2.7 GM / sodium phosphate, monobasic 7.2 GM per 45 ML Oral Solution

Clinical Specifications

Proprietary Name
Saline Laxative Cherry Laxative
Non-Proprietary Name
Sodium Phosphate, Dibasic And Sodium Phosphate, Monobasic, Unspecified Form
Substance Name
Sodium Phosphate, Dibasic; Sodium Phosphate, Monobasic, Unspecified Form
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Usage Information
Use as a laxative for relief of occasional constipationdilute dose in the table below with one glass (8 fl. oz.) of cool water. Drink, then follow with at least one additional glass (8 fl. oz.) of cool water. There is significant loss of liquid when using this product. To prevent dehydration, drink plenty of clear liquid after use.do not use for bowel cleansingthere are three teaspoons in one tablespoondo not take more unless directed by a doctor. See Warnings.Ages (years)DosageMaximum Dose12 & older1 Tablespoon2 or 3 TablespoonsSINGLE DAILY DOSAGE. DO NOT TAKE MORE OF THIS PRODUCT IN A 24-HOUR PERIOD10 & 111 Tablespoon1 Tablespoon5 to 91 ½ Teaspoons1 ½ TeaspoonsUnder 5Do Not UseDo Not Use

Regulatory & Marketing

Labeler Name
Dolgencorp Inc.
Product Type
Human Otc Drug
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
12-31-2026
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 55910-339-24 identifies a specific commercial package of 1 bottle in 1 carton / 45 ml in 1 bottle of Saline Laxative Cherry Laxative, a human over the counter drug labeled by Dolgencorp Inc.. This liquid is formulated for oral use and contains sodium phosphate, dibasic; sodium phosphate, monobasic, unspecified form 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 Dolgencorp Inc. on March 15, 2016. The current certification is valid through December 31, 2026.

How is this Dolgencorp Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910033924. 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)
55910-339-24
11-Digit CMS (5-4-2)
55910-0339-24

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