Glycerin Suppository
NDC Package 84415-041-50

11-digit billing NDC: 84415004150
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Glycerin (glycerin suppository) suppositories is single Daily dosage: 1 suppository or as directed by a doctorChildren 2 to 6 years:tear wrapper prior to immediate useremove the secondary wrapper before inserting into the rectum as follows:      - hold suppository with pointed end up      - carefully separate tabs with fingernail      - gently pull apart by pulling tabs down on both sides      - remove suppository from wrapper      - insert one suppository well up into the rectumChildren under 2 years of age: ask a doctorSuppository need not melt completely to produce laxative action. This formulation utilizes a suppository delivery system. Marketed by Everpharm Llc, this product is identified by NDC 84415-041 and is authorized under FDA application M007.

Identification & Billing

NDC Package Code
84415-041-50
Package Description
50 POUCH in 1 CARTON / 1 SUPPOSITORY in 1 POUCH
Product Code
84415-041
11-Digit Billing Format
84415004150
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Glycerin
Non-Proprietary Name
Glycerin Suppository
Substance Name
Glycerin
Dosage Form
Suppository - A solid body of various weights and shapes, adapted for introduction into the rectal orifice of the human body; they usually melt, soften, or dissolve at body temperature.
Administration Route
Rectal - Administration to the rectum.
Active Ingredient(s)
GLYCERIN 1.2 g/1
Pharmacologic Class
Usage Information
Single Daily dosage: 1 suppository or as directed by a doctorChildren 2 to 6 years:tear wrapper prior to immediate useremove the secondary wrapper before inserting into the rectum as follows:      - hold suppository with pointed end up      - carefully separate tabs with fingernail      - gently pull apart by pulling tabs down on both sides      - remove suppository from wrapper      - insert one suppository well up into the rectumChildren under 2 years of age: ask a doctorSuppository need not melt completely to produce laxative action

Regulatory & Marketing

Labeler Name
Everpharm Llc
Product Type
Human Otc Drug
FDA Application #
M007
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-16-2026
Listing Expiration
12-31-2027
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 84415-041-50 identifies a specific commercial package of 50 pouch in 1 carton / 1 suppository in 1 pouch of Glycerin, a human over the counter drug labeled by Everpharm Llc. This suppository is formulated for rectal use and contains glycerin 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 Everpharm Llc on June 16, 2026. The current certification is valid through December 31, 2027.

How is this Everpharm Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84415004150. 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)
84415-041-50
11-Digit CMS (5-4-2)
84415-0041-50

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