DocuSol® Product Line
When waiting overnight is NOT an option!

RETAIL INCONTINENCE PRODUCT LINE

Product Benefits

Constipation is the most common gastrointestinal complaint in the United States. An estimated 42 million individuals have bowel issues or constipation.2 The docusate sodium DocuSol® mini-enema has been used by patients and healthcare facilities for over 15 years.

  • Fast, predictable results typically in 2-15 minutes.
  • Flexible tip for ease of use at home
  • Non-irritating formula.
  • Easy rectal usage for patients with reflux issues or nausea.
  • Affordably priced, conveniently packaged in 5 count box.
  • DocuSol® is covered in approximately 78% of the United States by Medicaid
  • Many private insurance plans cover the cost of DocuSol®. Individuals should contact their insurance provider to verify that DocuSol® is covered on their plan.
Docusol® box

Docusol® Logo

  • 5mL mini-enema, 5 tubes per box.
  • Docusate sodium in a proprietary blend of polyethylene glycol & glycerine.
283
MG
docusate sodium
National Drug Code:
17433-9878 -05
Docusol® Plus Box

Docusol® Plus logo

  • 5mL mini-enema, 5 tubes per box.
  • Docusate sodium in a proprietary blend of polyethylene glycol & glycerine with BENZOCAINE to assist in the anesthetization of the rectum and lower bowel.
283
MG
docusate sodium
20mg benzocaine
National Drug Code:
17433-9883-05
Docusol® Kids Box

Docusol® Kids Logo

  • 5mL mini-enema, 5 tubes per box.
  • Docusate sodium in a proprietary blend of polyethylene glycol & glycerine. 2-12 years of age.
100
MG
docusate sodium
National Drug Code:
17433-9884-05

 

RETAIL INCONTINENCE PRODUCT LINE

Ordering Information

Product Name National Drug Code Number Cardinal McKesson Amerisource Package Size Active Ingredient Strength*
DocuSol® 17433-9878-05 4999934 1360072 95848210059420 5ml mini-enemas5 tubes per box Docusate Sodium USP 283 mg
DocuSol® Plus 17433-9883-05 4934717 3467099 24142210125408 5ml mini-enemas5 tubes per box Docusate Sodium USP 283 mg Benzocaine 20 mg
DocuSol® Kid 17433-9884-05 4957460 3293826 27965710133934 5ml mini-enemas5 tubes per box Docusate Sodium USP 100 mg

 

Patient Diagnostic Codes

Quadriplegic G82.50
Paraplegic G82.20
Multiple Sclerosis G35
Cerebral Palsy G80.9
Spina Bifida Q05.9
Stroke I63.9
Constipation K59.00

HCPCS Codes

A4649 – general or generic billing code
A9999 – general or generic billing code
A4335 – incontinence supply/miscellaneous

Medicaid Coverage

DocuSol® is covered in 78% of the United States by Medicaid, requiring little to no out of pocket cost to the patient

Private Insurance

Many private insurance plans cover the cost of DocuSol®. We recommend that individuals contact theirinsurance companies and inquire if DocuSol® is on their formulary plans. If it is not, request the prior authorization form, which should be completed and submitted to the insurance company by the prescribing physician.

Group Purchasing Organizations

DocuSol® is contracted with most major Group Purchasing Organizations.

The material contained is for reference purposes only. Alliance Labs, LLC and Summit Pharmaceuticals do not assume responsibility for patient care. Consult a physician prior to use. Copyright 2019 Summit Pharmaceuticals and Alliance Labs LLC. 1 Federal Register / Vol. 50, No. 10 / Tuesday, January 15, 1985 / Proposed Rules; pgs 2124-2158. 2 U.S.News. 2015.04.08.8-myths-about-constipation, Anna Medaris Miller, Staff Writer, American Gastroenterological Association, Bharucha AE, Dorn SD, Lembo A, Pressman A. American Gastroenterological Association medical position statement on constipation. Gastroenterology. 2013;144(1):211-217. DOC005 01.15.19

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