Cvs Pharmacy Glycerin Suppositories
NDC Package 59779-009-04

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Cvs Pharmacy Glycerin Suppositories is single daily dosageadults and children 6 years and over 1 suppository or as directed by a doctorchildren 2 to under 6 yearsuse CVS pharmacy Children's Liquid Glycerin Suppositories children under 2 yearsconsult a doctor Left-side position. Marketed by Cvs Pharmacy, Inc., this product is identified by NDC 59779-009 and is authorized under FDA application part334.

Identification & Billing

NDC Package Code
59779-009-04
Package Description
4 LIQUID in 1 CARTON
Product Code
59779-009
11-Digit Billing Format
59779000904
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Cvs Pharmacy Glycerin Suppositories Laxative
Dosage Form
-
Usage Information
Single daily dosageadults and children 6 years and over 1 suppository or as directed by a doctorchildren 2 to under 6 yearsuse CVS pharmacy Children's Liquid Glycerin Suppositories children under 2 yearsconsult a doctor Left-side position. Lie on left side with knees bent and arms resting comfortably.Knee-chest position. Kneel, then lower head and chest forward until left side of face is resting on surface with left arm folded comfortably.Administering the laxative: CAUTION: REMOVE GREEN PROTECTIVE COVER BEFORE INSERTING. Hold unit upright, grasping bulb of unit with fingers. Grasp green protective cover with other hand, twist one revolution and pull green cover off and discard. With steady pressure, insert tip into rectum with a slight side-to side movement, with tip pointing toward navel.Do not force the applicator tip into the rectum, as this can cause injury. Insertion may be easier if person receiving suppository bears down as if having a bowel movement. This helps relax the muscles around the anus. Squeeze the bulb until nearly all liquid is expelled. While continuing to squeeze the bulb, remove the tip from the rectum and discard unit. It is not necessary to empty unit completely. The unit contains more than the amount of liquid needed for effective use. A small amount of liquid will remain in the unit after squeezing.

Regulatory & Marketing

Labeler Name
Cvs Pharmacy, Inc.
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
06-03-2002
Listing Expiration
12-31-2017
Exclude Flag
I
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 59779-009-04 identifies a specific commercial package of 4 liquid in 1 carton of Cvs Pharmacy Glycerin Suppositories Laxative, labeled by Cvs Pharmacy, Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Cvs Pharmacy, Inc. on June 03, 2002. The current certification is valid through December 31, 2017.

How is this Cvs Pharmacy, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59779000904. 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)
59779-009-04
11-Digit CMS (5-4-2)
59779-0009-04

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