NDC codes

FDA NDC Directory
Product NDC (as listed)0049-0174Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00049-0174Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0049-0174-020004901740200049017402100 TABLET, EXTENDED RELEASE in 1 BOTTLE (0049-0174-02)Marketed from May 9, 2013
0049-0174-030004901740300049017403500 TABLET, EXTENDED RELEASE in 1 BOTTLE (0049-0174-03)Marketed from May 9, 2013

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Glucotrol XLSuffix: XL
Generic name (nonproprietary)
glipizide
Active ingredients
Glipizide — 5 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Labeler
RoerigNDC labeler code 0049
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020329
Marketing start
Marketing end
Other FDA classes
Sulfonylurea Compounds (Chemical structure)
Identifiers
Product ID 0049-0174_c98a3ab5-faeb-4d79-8bcd-05f37c2b50bfSPL ID c98a3ab5-faeb-4d79-8bcd-05f37c2b50bfSPL set ID eed99b60-d043-4249-9b2a-f05e46fb588dRxCUI 310489, 314006, 315107, 865568, 865571, 865573UNII X7WDT95N5CUPC 0300490174022, 0300490170017
Pharmacologic class
Sulfonylurea

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400049017402 followed by a unit qualifier and the quantity

Package 00049-0174-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

GLUCOTROL XL is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. GLUCOTROL XL is a sulfonylurea indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus Limitations of Use: Not for treatment of type 1 diabetes or diabetic ketoacidosis 1.1 Limitations of Use GLUCOTROL XL is not recommended for the treatment of type 1 diabetes mellitus or diabetic ketoacidosis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0049-0174

What is NDC 0049-0174?
0049-0174 is the product NDC for Glucotrol XL (glipizide), Glipizide 5 mg/1 tablet, extended release, listed with the FDA by Roerig. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glucotrol XL (Glipizide).
What is the active ingredient?
Glipizide.
Who is the labeler?
Roerig, NDC labeler code 0049. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glucotrol XL?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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