Oral Saline Laxative
NDC Package 59779-111-12

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.

Oral Saline Laxative is •use as a laxative for relief of occasional constipation•dilute dose in the table below with one glass (8 fl. Marketed by Cvs Pharmacy, this product is identified by NDC 59779-111 and is authorized under FDA application part334.

Identification & Billing

NDC Package Code
59779-111-12
Package Description
1 BOTTLE in 1 CARTON / 45 mL in 1 BOTTLE
Product Code
59779-111
11-Digit Billing Format
59779011112
RxNorm Crosswalk
  • RxCUI: 1790675 - sodium phosphate, dibasic 1.4 GM / sodium phosphate, monobasic 6.2 GM in 15 mL Oral Solution
  • RxCUI: 1790675 - sodium phosphate, dibasic 93 MG/ML / sodium phosphate, monobasic 413 MG/ML Oral Solution
  • RxCUI: 1790675 - sodium phosphate, dibasic 1.4 GM / sodium phosphate, monobasic 6.2 GM per 15 ML Oral Solution

Clinical Specifications

Proprietary Name
Oral Saline Laxative Ginger Lemon
Dosage Form
-
Usage Information
•use as a laxative for relief of occasional constipation•dilute dose in the table below with one glass (8 fl. oz.) cool water. Drink, then follow with at least one additional glass (8 fl. oz.) 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 cleansing.•Do not take more unless directed by a doctor. See Warning. There are three Teaspoons in one Tablespoon.Ages (Years)DosageMaximum Dose12 & Older3 Teaspoons6 or 9 Teaspoons*10 & 113 Teaspoons*3 Teaspoons*5 to 91 1/2 Teaspoons*1 1/2 Teaspoons*under 5Do Not UseDo Not Use *SINGLE DAILY DOSAGE. DO NOT TAKE MORE OF THIS PRODUCT IN A 24-HOUR PERIOD

Regulatory & Marketing

Labeler Name
Cvs Pharmacy
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
08-31-2012
Listing Expiration
12-31-2018
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 59779-111-12 identifies a specific commercial package of 1 bottle in 1 carton / 45 ml in 1 bottle of Oral Saline Laxative Ginger Lemon, labeled by Cvs Pharmacy. 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 on August 31, 2012. The current certification is valid through December 31, 2018.

How is this Cvs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59779011112. 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)
59779-111-12
11-Digit CMS (5-4-2)
59779-0111-12

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