NDC codes

FDA NDC Directory
Product NDC (as listed)0264-7390Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00264-7390Add 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
0264-7390-60002647390604 CONTAINER in 1 CASE (0264-7390-60) / 3000 mL in 1 CONTAINERMarketed from Dec 4, 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)
Glycine
Generic name (nonproprietary)
glycine
Active ingredients
Glycine — 1.5 g/100mL
Dosage form
Irrigant
Route
Irrigation
Labeler
B. Braun Medical Inc.NDC labeler code 0264
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 016784
Marketing start
Listing expires
Identifiers
Product ID 0264-7390_520815fc-d305-4abb-87e8-41998801a624SPL ID 520815fc-d305-4abb-87e8-41998801a624SPL set ID f4d83550-42de-44c7-b8d5-1d0debc6aec2RxCUI 310571UNII TE7660XO1C

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400264739060 followed by a unit qualifier and the quantity

Package 00264-7390-60. 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)

INDICATIONS AND USAGE 1.5% Glycine Irrigation USP is indicated as an irrigant during transurethral prostatic or bladder surgery.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0264-7390

What is NDC 0264-7390?
0264-7390 is the product NDC for Glycine, Glycine 1.5 g/100mL irrigant, listed with the FDA by B. Braun Medical Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glycine.
What is the active ingredient?
Glycine.
Who is the labeler?
B. Braun Medical Inc., NDC labeler code 0264. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glycine?
2 other product NDCs are listed under this name. See all Glycine NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Glycine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
GlycineGlycine 1.5 g/100mLIrrigantIrrigationICU Medical Inc.0990-797400990-7974-08
GlycineGlycine 1.5 g/100mLSolutionIrrigationBaxter Healthcare Corporation0338-028900338-0289-47

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