GoLYTELY
- Product NDC
- 52268-100
- 11-digit product format
- 522680100
- Labeler code
- 52268
- Product ID
- 52268-100_c3649858-77b7-2295-e053-2995a90a048f
- Type
- HUMAN PRESCRIPTION DRUG
- Nonproprietary name
- Polyethylene Glycol 3350, Sodium Sulfate Anhydrous, Sodium Bicarbonate, Sodium Chloride, Potassium Chloride
- Dosage form
- POWDER, FOR SOLUTION
- Route
- ORAL
- Labeler
- Braintree Laboratories, Inc.
- Application
- NDA019011
- Marketing category
- NDA
- Marketing start
- 1984-07-13
- Substance
- POLYETHYLENE GLYCOL 3350; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE; SODIUM SULFATE ANHYDROUS
- Active strength
- 236; 2.97; 6.74; 5.86; 22.74 g/4L; g/4L; g/4L; g/4L; g/4L
- Pharmacologic classes
- 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], 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
- GoLYTELY
- Listing expiration
- 2026-12-31
Active Ingredients#
| Ingredient | Strength |
|---|---|
| POLYETHYLENE GLYCOL 3350 | 236 g/4L |
| POTASSIUM CHLORIDE | 2.97 g/4L |
| SODIUM BICARBONATE | 6.74 g/4L |
| SODIUM CHLORIDE | 5.86 g/4L |
| SODIUM SULFATE ANHYDROUS | 22.74 g/4L |
Harmonized Identifiers#
| Field | Values |
|---|---|
| Unii | G2M7P15E5P, 660YQ98I10, 8MDF5V39QO, 451W47IQ8X, 36KCS0R750 |
| Rxcui | 966916, 966920, 966922, 1870431 |
DailyMed Product Concepts#
DailyMed Package Descriptions#
| Package NDC | Product | Description | Form | Quantity | Strength | SPL version |
|---|---|---|---|---|---|---|
| 52268-100-01 | GoLYTELY | 4 L in 1 BOTTLE, PLASTIC | POWDER, FOR SOLUTION | 4 | 5 |
DailyMed Billing Units#
| Package NDC | Billing unit | Product NDC | DailyMed indexing SPL | SPL version | Effective |
|---|---|---|---|---|---|
| 52268-100-01 | ML - Milliliter | 52268-100 | a5d42c3b-7b42-4d06-9fe1-fb310939643a | 1 | 2012-07-24 |
DailyMed Socrata Ingredients#
DailyMed Dashboard NDC Coverage#
| NDC | Dashboard title | SPL version | Validation | Dashboard ZIP |
|---|---|---|---|---|
| 52268-100 | GOLYTELY (POLYETHYLENE GLYCOL 3350, SODIUM SULFATE ANHYDROUS, SODIUM BICARBONATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE) POWDER, FOR SOLUTION [BRAINTREE LABORATORIES, INC.] | 5 | Current NDC, Legacy NDC, 1 package rows | 20210529_57d22b0b-1ae0-4203-babc-f3bac17bd1c9.zip |
DailyMed RxNorm Mappings#
| RxCUI | RxNorm string | TTY | DailyMed | SPL version |
|---|---|---|---|---|
| 966916 | GoLYTELY Packet Powder for Oral Solution | PSN | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966922 | GoLYTELY Plastic Bottle Powder for Oral Solution | PSN | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 1870431 | polyethylene glycol 3350 227.1 GM / potassium chloride 2.82 GM / sodium bicarbonate 6.36 GM / sodium chloride 5.53 GM / sodium sulfate 21.5 GM Powder for Oral Solution | PSN | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966920 | polyethylene glycol 3350 236 GM / potassium chloride 2.97 GM / sodium bicarbonate 6.74 GM / sodium chloride 5.86 GM / sodium sulfate 22.74 GM Powder for Oral Solution | PSN | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966916 | polyethylene glycol 3350 227100 MG / potassium chloride 2820 MG / sodium bicarbonate 6360 MG / sodium chloride 5530 MG / sodium sulfate 21500 MG Powder for Oral Solution [Golytely] | SBD | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966922 | polyethylene glycol 3350 236000 MG / potassium chloride 2970 MG / sodium bicarbonate 6740 MG / sodium chloride 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution [Golytely] | SBD | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 1870431 | polyethylene glycol 3350 227100 MG / potassium chloride 2820 MG / sodium bicarbonate 6360 MG / sodium chloride 5530 MG / sodium sulfate 21500 MG Powder for Oral Solution | SCD | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966920 | polyethylene glycol 3350 236000 MG / potassium chloride 2970 MG / sodium bicarbonate 6740 MG / sodium chloride 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution | SCD | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966916 | Golytely (polyethylene glycol 3350 227.1 GM / potassium chloride 2.82 GM / sodium bicarbonate 6.36 GM / sodium chloride 5.53 GM / sodium sulfate 21.5 GM) Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966922 | Golytely (polyethylene glycol 3350 236 GM / potassium chloride 2.97 GM / sodium bicarbonate 6.74 GM / sodium chloride 5.86 GM / sodium sulfate 22.74 GM) Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 1870431 | polyethylene glycol 3350 227.1 GM / potassium chloride 2.82 GM / sodium bicarbonate 6.36 GM / sodium chloride 5.53 GM / sodium sulfate 21.5 GM Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 1870431 | POLYETHYLENE GLYCOL 3350 227100 MG / K+ Chloride 2820 MG / NaHCO3 6360 MG / NaCl 5530 MG / sodium sulfate 21500 MG Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966916 | POLYETHYLENE GLYCOL 3350 227100 MG / K+ Chloride 2820 MG / NaHCO3 6360 MG / NaCl 5530 MG / sodium sulfate 21500 MG Powder for Oral Solution [Golytely] | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 1870431 | POLYETHYLENE GLYCOL 3350 227100 MG / Pot Chloride 2820 MG / NaHCO3 6360 MG / NaCl 5530 MG / sodium sulfate 21500 MG Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966916 | POLYETHYLENE GLYCOL 3350 227100 MG / Pot Chloride 2820 MG / NaHCO3 6360 MG / NaCl 5530 MG / sodium sulfate 21500 MG Powder for Oral Solution [Golytely] | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966920 | polyethylene glycol 3350 236 GM / potassium chloride 2.97 GM / sodium bicarbonate 6.74 GM / sodium chloride 5.86 GM / sodium sulfate 22.74 GM Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966920 | POLYETHYLENE GLYCOL 3350 236000 MG / K+ Chloride 2970 MG / NaHCO3 6740 MG / NaCl 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966922 | POLYETHYLENE GLYCOL 3350 236000 MG / K+ Chloride 2970 MG / NaHCO3 6740 MG / NaCl 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution [Golytely] | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966920 | POLYETHYLENE GLYCOL 3350 236000 MG / Pot Chloride 2970 MG / NaHCO3 6740 MG / NaCl 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
| 966922 | POLYETHYLENE GLYCOL 3350 236000 MG / Pot Chloride 2970 MG / NaHCO3 6740 MG / NaCl 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution [Golytely] | SY | 57d22b0b-1ae0-4203-babc-f3bac17bd1c9 | 5 |
Packages#
| Package NDC | 11-digit format | Description | Units | Marketing start | Marketing end | Sample | Exclude flag | Status |
|---|---|---|---|---|---|---|---|---|
| 52268-100-01 | 52268010001 | 4 L in 1 BOTTLE, PLASTIC (52268-100-01) | 4 l | 1984-07-13 | 0000-00-00 | No | No | Current |