Physiolyte

Product NDC
0264-2205
11-digit product format
002642205
Labeler code
0264
Product ID
0264-2205_03ced4e7-7317-45fb-8303-54a924c7d281
Type
HUMAN PRESCRIPTION DRUG
Nonproprietary name
Sodium Chloride, Sodium Gluconate, Sodium Acetate, Potassium Chloride, and Magnesium Chloride
Dosage form
IRRIGANT
Route
IRRIGATION
Labeler
B. Braun Medical Inc.
Application
NDA019024
Marketing category
NDA
Marketing start
1984-06-08
Substance
MAGNESIUM CHLORIDE; POTASSIUM CHLORIDE; SODIUM ACETATE; SODIUM CHLORIDE; SODIUM GLUCONATE
Active strength
.03; .037; .37; .53; .5 g/100mL; g/100mL; g/100mL; g/100mL; g/100mL
Pharmacologic classes
Calculi Dissolution Agent [EPC], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhibition Small Intestine Fluid/Electrolyte Absorption [PE], Magnesium Ion Exchange Activity [MoA], Osmotic Activity [MoA], Osmotic Activity [MoA], Osmotic Activity [MoA], Osmotic Activity [MoA], Osmotic Activity [MoA], Osmotic Laxative [EPC], Osmotic Laxative [EPC], Osmotic Laxative [EPC], Osmotic Laxative [EPC], Osmotic Laxative [EPC], Potassium Compounds [CS], Potassium Salt [EPC], Stimulation Large Intestine Fluid/Electrolyte Secretion [PE]
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
Physiolyte
Listing expiration
2026-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
MAGNESIUM CHLORIDE.03 g/100mL
POTASSIUM CHLORIDE.037 g/100mL
SODIUM ACETATE.37 g/100mL
SODIUM CHLORIDE.53 g/100mL
SODIUM GLUCONATE.5 g/100mL

Harmonized Identifiers#

Field, Values table
FieldValues
Unii02F3473H9O, 660YQ98I10, 4550K0SC9B, 451W47IQ8X, R6Q3791S76
Rxcui827351, 827353

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
6e3c022f-0786-43f1-8857-edff89d5153fProduct name120260309
9e37788c-b1bf-42ae-aac9-b60601606144Product name820260122
95250459-30e4-45c1-b08a-993044f49109Product name220250805
d9771140-739b-484b-ae64-b79528ff1211Product name320250801
efd58dcf-540a-4531-8766-e713129ca6f2Product name120250307
30b0ac6e-02aa-0e5c-0d8b-cffdf3a282b2Product name520250304
726062af-1135-4707-a1d7-57256991bbf9Product name220250226
1527ac37-808d-43be-a63e-74e1258dbe46Product name920250219
a21a21e5-f36d-4c1f-8918-def921b8f7e3Product name320250124
bed0530e-f939-4541-956b-6928a2f6404fProduct name120241008
cefa60e2-a5b5-493e-9c54-24735b7dc509Product name620240814
fb7ab793-2c12-4079-b100-a64f73bef25aProduct name420240712
efd58652-cb8f-4018-91ca-4b0eb2ff729fProduct name720240226
362d7abb-94e6-4c60-9a58-266894157713Product name120231023
b0cbf770-6cc3-4aa4-9158-755110c2b9f7Product name220230717
dc7c5daa-021f-40dd-b00d-63982cb2067aProduct name120230426
9fcb7a91-de07-4f00-aabf-e4d6fda403d5Product name820230322
e2db08c6-133f-4f4f-afb4-e90a2418d6f6Product name120230320
6bd95106-a412-1dad-b9cc-4cb74bfb27ceProduct name220230315
f1e0dc7e-7d61-4625-b6d9-4894927679d7Product name220211025
9badc7be-250a-44ab-aa36-926af3f02679Product name120210527
2641ccb3-721d-4fbf-9f2f-ca2f18157a62Product name320210309
08ffbcbf-26df-b99c-1dab-64fc4cfae89fProduct name520200925
e4870509-7e28-6f92-f0be-dd3dd889a9cfProduct name520200810
0ec3537a-6c9b-432a-896c-b9ea8723049aProduct name920200701
6e9d4a47-c464-b93e-aebc-ad7bffc9c4cdProduct name220190619
444b3e50-f226-46ef-bfca-2e7035d140cdProduct name120190611
816b97af-edc5-4060-aff1-b814bdbcad50Product name120190415
11ed6f83-cdd2-4637-8379-b1a1d3ae3cdeProduct name120181101
7cda52fc-125f-421c-8fea-bc1974370c49Product name220180703
7916de40-e296-41f0-b811-6d0df1a33e2cProduct name920180627
48747306-602a-42cc-957b-5b0c69158eeeProduct name120180604
86c45a79-b9f0-4476-a27c-6e10db098497Product name120180125
cefa60e2-a5b5-493e-9c54-24735b7dc509Product name220171212
419aab54-5d5a-4146-9453-026d4a9991beProduct name220170525
26acd337-b838-40ac-bcbc-05c3b81c8712Product name120170323
08ffbcbf-26df-b99c-1dab-64fc4cfae89fProduct name220160823
d5e51f11-ad28-caa4-4b49-4143974782adProduct name120150831
290f523a-f9db-9774-b5a9-e1f908ac1782Product name120150828
e7e58cd3-cacb-49df-8d34-1ee335614abbProduct name120150609
0ca1d589-929b-4b33-bc5b-1d84abdafa6aProduct name120150324
fc363c46-397b-4476-ac0f-70e43e8e4592Product name120150324
89dac932-b90a-4410-9ab1-84c53e57de25Product name120150316
19c71a3d-ed9c-166b-a7e5-38c250c35631Product name120140508
5668b646-cd56-c3c7-bdea-3f6b1a8840dbProduct name120140508
597b1cfd-7b31-5048-62be-ca5cd740da2fProduct name120140508
684ea482-2e8b-14af-5664-b98f1e402036Product name120140508
810ab97e-f109-f41c-7c83-6a652a9cbf43Product name120140508
87711080-88eb-65c5-b2dd-bf99e700a372Product name120140508
8dbefedf-0a0d-a224-5a3c-66dc9e11c2ddProduct name120140508
b060cc1a-fe47-856b-0b77-4448b5963de8Product name120140508
c6b65c52-69c7-df49-550a-a50c137f6218Product name120140508
db5ebcdb-b6ae-21cd-4dc5-76cd84b5578bProduct name120140508
ec2149b3-5c6d-5344-f757-c86411073075Product name120140508
ed912195-5da0-0f2f-6f4b-3ef17710cbe3Product name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0264-2205-00Physiolyte1000 mL in 1 CONTAINERIRRIGANT10007
0264-2205-00Physiolyte16 in 1 CASEIRRIGANT167

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0264-2205-00ML - Milliliter0264-2205993b6d9d-32ff-4b24-a7ca-78ab51d9243812012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIIDailyMed labelSPL versionUploaded
Magnesium ChlorideACTIVE INGREDIENT02F3473H9OPHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Potassium ChlorideACTIVE INGREDIENT660YQ98I10PHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Sodium AcetateACTIVE INGREDIENT4550K0SC9BPHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Sodium ChlorideACTIVE INGREDIENT451W47IQ8XPHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Sodium GluconateACTIVE INGREDIENTR6Q3791S76PHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Magnesium CationACTIVE MOIETYT6V3LHY838PHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Potassium CationACTIVE MOIETY295O53K152PHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Sodium CationACTIVE MOIETYLYR4M0NH37PHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
Acetic AcidINACTIVE INGREDIENTQ40Q9N063PPHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3
WaterINACTIVE INGREDIENT059QF0KO0RPHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]3

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
0264-2205PHYSIOLYTE (SODIUM CHLORIDE, SODIUM GLUCONATE, SODIUM ACETATE, POTASSIUM CHLORIDE, AND MAGNESIUM CHLORIDE) IRRIGANT [B. BRAUN MEDICAL INC.]7Current NDC, Legacy NDC, 2 package rows20230927_19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e.zip

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYDailyMedSPL version
827351magnesium chloride 0.03 GM / potassium chloride 0.037 GM / sodium acetate 0.37 GM / sodium chloride 0.53 GM / sodium gluconate 0.5 GM in 100 mL Irrigation SolutionPSN19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827353Physiolyte 0.03 GM / 0.037 GM / 0.37 GM / 0.53 GM / 0.5 GM in 100 mL Irrigation SolutionPSN19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827353magnesium chloride 0.00148 MEQ/ML / potassium chloride 0.005 MEQ/ML / sodium acetate 0.027 MEQ/ML / sodium chloride 0.09 MEQ/ML / sodium gluconate 0.023 MEQ/ML Irrigation Solution [Physiolyte]SBD19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827351magnesium chloride 0.00148 MEQ/ML / potassium chloride 0.005 MEQ/ML / sodium acetate 0.027 MEQ/ML / sodium chloride 0.09 MEQ/ML / sodium gluconate 0.023 MEQ/ML Irrigation SolutionSCD19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827351Magnesium Chloride 0.00148 MEQ/ML / K+ Chloride 0.005 MEQ/ML / Sodium Acetate 0.027 MEQ/ML / NaCl 0.09 MEQ/ML / Sodium gluconate 0.023 MEQ/ML Irrigation SolutionSY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827353Magnesium Chloride 0.00148 MEQ/ML / K+ Chloride 0.005 MEQ/ML / Sodium Acetate 0.027 MEQ/ML / NaCl 0.09 MEQ/ML / Sodium gluconate 0.023 MEQ/ML Irrigation Solution [Physiolyte]SY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827351Magnesium Chloride 0.00148 MEQ/ML / Pot Chloride 0.005 MEQ/ML / Sodium Acetate 0.027 MEQ/ML / NaCl 0.09 MEQ/ML / Sodium gluconate 0.023 MEQ/ML Irrigation SolutionSY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827353Magnesium Chloride 0.00148 MEQ/ML / Pot Chloride 0.005 MEQ/ML / Sodium Acetate 0.027 MEQ/ML / NaCl 0.09 MEQ/ML / Sodium gluconate 0.023 MEQ/ML Irrigation Solution [Physiolyte]SY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827351magnesium chloride 0.03 GM / potassium chloride 0.037 GM / sodium acetate 0.37 GM / sodium chloride 0.53 GM / sodium gluconate 0.5 GM per 100 ML Irrigation SolutionSY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827353Physiolyte (magnesium chloride 0.03 GM / potassium chloride 0.037 GM / sodium acetate 0.37 GM / sodium chloride 0.53 GM / sodium gluconate 0.5 GM per 100 ML) Irrigation SolutionSY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7
827353Physiolyte Irrigation SolutionSY19c04dcb-d6f2-4624-afd4-1c7b7ddcb85e7

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startMarketing endSampleExclude flagStatus
0264-2205-000026422050016 CONTAINER in 1 CASE (0264-2205-00) / 1000 mL in 1 CONTAINER16 container1984-06-080000-00-00NoNoCurrent