Peg-3350, Electrolytes, And Ascorbate Kit
NDC Package 68682-201-75

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

Package Information

Peg-3350, Electrolytes, And Ascorbate (polyethylene glycol 3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate, and ascorbic acid) kits is pEG-3350, Electrolytes, and Ascorbate for Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. This formulation utilizes a kit delivery system. Marketed by Oceanside Pharmaceuticals, this product is identified by NDC 68682-201 and is authorized under FDA application NDA021881.

Identification & Billing

NDC Package Code
68682-201-75
Package Description
1 KIT in 1 CONTAINER * 1 L in 1 POUCH * 1 L in 1 POUCH
Product Code
68682-201
11-Digit Billing Format
68682020175
RxNorm Crosswalk
  • RxCUI: 800915 - ascorbic acid 4.7 GM / polyethylene glycol 3350 100 GM / potassium chloride 1.015 GM / sodium ascorbate 5.9 GM / sodium chloride 2.69 GM / sodium sulfate 7.5 GM Powder for Oral Solution
  • RxCUI: 800915 - ascorbic acid 4700 MG / polyethylene glycol 3350 100000 MG / potassium chloride 1015 MG / sodium ascorbate 5900 MG / sodium chloride 2690 MG / sodium sulfate 7500 MG Powder for Oral Solution
  • RxCUI: 800915 - vitamin C 4700 MG / POLYETHYLENE GLYCOL 3350 100000 MG / K+ Chloride 1015 MG / Sodium Ascorbate 5900 MG / NaCl 2690 MG / sodium sulfate 7500 MG Powder for Oral Solution
  • RxCUI: 800915 - vitamin C 4700 MG / POLYETHYLENE GLYCOL 3350 100000 MG / Pot Chloride 1015 MG / Sodium Ascorbate 5900 MG / NaCl 2690 MG / sodium sulfate 7500 MG Powder for Oral Solution
  • RxCUI: 800915 - vit-C 4700 MG / POLYETHYLENE GLYCOL 3350 100000 MG / K+ Chloride 1015 MG / Sodium Ascorbate 5900 MG / NaCl 2690 MG / sodium sulfate 7500 MG Powder for Oral Solution

Clinical Specifications

Proprietary Name
Peg-3350, Electrolytes, And Ascorbate
Non-Proprietary Name
Polyethylene Glycol 3350, Sodium Sulfate, Sodium Chloride, Potassium Chloride, Sodium Ascorbate, And Ascorbic Acid
Dosage Form
Kit - A packaged collection of related material.
Usage Information
PEG-3350, Electrolytes, and Ascorbate for Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults.

Regulatory & Marketing

Labeler Name
Oceanside Pharmaceuticals
Product Type
Human Prescription Drug
FDA Application #
NDA021881
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
10-01-2006
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 68682-201-75 identifies a specific commercial package of 1 kit in 1 container * 1 l in 1 pouch * 1 l in 1 pouch of Peg-3350, Electrolytes, And Ascorbate, a human prescription drug labeled by Oceanside Pharmaceuticals. This kit is formulated for use and contains 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 Oceanside Pharmaceuticals on October 01, 2006. The current certification is valid through December 31, 2026.

How is this Oceanside Pharmaceuticals product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68682020175. 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)
68682-201-75
11-Digit CMS (5-4-2)
68682-0201-75

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