NDC codes

FDA NDC Directory
Product NDC (as listed)0904-6637Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-6637Add 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
0904-6637-6100904663761100 BLISTER PACK in 1 CARTON (0904-6637-61) / 1 TABLET in 1 BLISTER PACKMarketed from Sep 25, 2002

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)
Glipizide
Generic name (nonproprietary)
glipizide
Active ingredients
Glipizide — 5 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075795
Marketing start
Listing expires
Other FDA classes
Sulfonylurea Compounds (Chemical structure)
Identifiers
Product ID 0904-6637_42b5c836-1917-4be3-986d-9ebe3f1a9191SPL ID 42b5c836-1917-4be3-986d-9ebe3f1a9191SPL set ID d3b5677c-2265-47c8-beeb-bf12106056baRxCUI 310490UNII X7WDT95N5C
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

N400904663761 followed by a unit qualifier and the quantity

Package 00904-6637-61. 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 Glipizide tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 075795

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 075795
ProductStrengthForm · routeLabelerProduct NDC
GlipizideGlipizide 5 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4223
GlipizideGlipizide 10 mg/1TabletOralBryant Ranch Prepack72162-2102
GlipizideGlipizide 10 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-4232
GlipizideGlipizide 5 mg/1TabletOralBryant Ranch Prepack72162-2103
GlipizideGlipizide 10 mg/1TabletOralNuCare Pharmaceuticals, Inc.66267-099
GlipizideGlipizide 5 mg/1TabletOralA-S Medication Solutions50090-6975
GlipizideGlipizide 10 mg/1TabletOralAvPAK50268-362
GlipizideGlipizide 5 mg/1TabletOralAvPAK50268-361
GlipizideGlipizide 5 mg/1TabletOralCardinal Health 107, LLC55154-7987
GlipizideGlipizide 5 mg/1TabletOralA-S Medication Solutions50090-0502
GlipizideGlipizide 10 mg/1TabletOralA-S Medication Solutions50090-0505
GlipizideGlipizide 5 mg/1TabletOralBryant Ranch Prepack71335-0930
GlipizideGlipizide 5 mg/1TabletOralREMEDYREPACK INC.70518-0552
GlipizideGlipizide 10 mg/1TabletOralProficient Rx LP63187-993
GlipizideGlipizide 5 mg/1TabletOralCoupler LLC67046-0236
GlipizideGlipizide 10 mg/1TabletOralREMEDYREPACK INC.70518-0579
GlipizideGlipizide 10 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.43063-861
GlipizideGlipizide 10 mg/1TabletOralCoupler LLC67046-0367
GlipizideGlipizide 5 mg/1TabletOralProficient Rx LP71205-041
GlipizideGlipizide 5 mg/1TabletOralPreferred Pharmaceuticals, Inc.68788-0141

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