Dynarex Laxative
NDC Package 67777-404-01

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.

Dynarex Laxative is indications & UsageFor relief of occassional constipation (irregularity).When using this product Do not take with mealsTake only at bedtimeAsk a doctor before use if you haveStomach refluxAbdominal pain, nausea, or vomitingNotice a sudden change in bowel habits that persist over a period of 2 weeksStop use and ask a doctor ifRectal bleeding or failure to have a bowel movementafter use. Marketed by Dynarex Corporation, this product is identified by NDC 67777-404 and is authorized under FDA application part334.

Identification & Billing

NDC Package Code
67777-404-01
Package Description
473 g in 1 BOTTLE
Product Code
67777-404
11-Digit Billing Format
67777040401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dynarex Laxative
Dosage Form
-
Usage Information
Indications & UsageFor relief of occassional constipation (irregularity).When using this product Do not take with mealsTake only at bedtimeAsk a doctor before use if you haveStomach refluxAbdominal pain, nausea, or vomitingNotice a sudden change in bowel habits that persist over a period of 2 weeksStop use and ask a doctor ifRectal bleeding or failure to have a bowel movementafter use. These could be signs of a serious condition.

Regulatory & Marketing

Labeler Name
Dynarex Corporation
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
03-05-2014
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 67777-404-01 identifies a specific commercial package of 473 g in 1 bottle of Dynarex Laxative, labeled by Dynarex Corporation. 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 Dynarex Corporation on March 05, 2014. The current certification is valid through December 31, 2017.

How is this Dynarex Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67777040401. 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)
67777-404-01
11-Digit CMS (5-4-2)
67777-0404-01

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