NDC codes

FDA NDC Directory
Product NDC (as listed)55154-7475Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-7475Add 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
55154-7475-5551547475055 VIAL in 1 BAG (55154-7475-5) / 1 mL in 1 VIALMarketed from Sep 21, 2011

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Glycopyrrolate
Generic name (nonproprietary)
glycopyrrolate
Active ingredients
Glycopyrrolate — .2 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090963
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 55154-7475_109d8867-4334-402d-a85f-4df8e6191f3bSPL ID 109d8867-4334-402d-a85f-4df8e6191f3bSPL set ID 65688bed-0d70-4b51-8301-1948b1deade1RxCUI 1731582UNII V92SO9WP2IUPC 0055154747554
Pharmacologic class
Anticholinergic; Cholinergic Muscarinic Antagonist

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N455154747505 followed by a unit qualifier and the quantity

Package 55154-7475-05. 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 In Anesthesia Glycopyrrolate Injection, USP is indicated for use as a preoperative antimuscarinic to reduce salivary, tracheobronchial, and pharyngeal secretions; to reduce the volume and free acidity of gastric secretions; and to block cardiac vagal inhibitory reflexes during induction of anesthesia and intubation. When indicated, Glycopyrrolate Injection, USP may be used intraoperatively to counteract surgically or drug-induced or vagal reflexes associated arrhythmias. Glycopyrrolate protects against the peripheral muscarinic effects (e.g., bradycardia and excessive secretions) of cholinergic agents such as neostigmine and pyridostigmine given to reverse the neuromusc…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 090963

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

FDA NDC Directory listings under ANDA 090963
ProductStrengthForm · routeLabelerProduct NDC
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9587
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1484
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1487
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9679
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9680
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1554
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9681
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9682
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1601
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9584
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9585
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousCivica, Inc.72572-225
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousHikma Pharmaceuticals USA Inc.0143-9586
GlycopyrrolateGlycopyrrolate .2 mg/mLInjectionIntramuscular, IntravenousMedical Purchasing Solutions, LLC71872-7013

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