NDC codes

FDA NDC Directory
Product NDC (as listed)72089-307Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72089-0307Add 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
72089-307-15720890307151 BOTTLE, PUMP in 1 CARTON (72089-307-15) / 9.8 mL in 1 BOTTLE, PUMPMarketed from Jun 19, 2020

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Gimoti
Generic name (nonproprietary)
metoclopramide hydrochloride
Active ingredients
Metoclopramide hydrochloride — 15 mg/.07mL
Dosage form
Spray
Route
Nasal
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 209388
Marketing start
Listing expires
Other FDA classes
Dopamine D2 Antagonists (Mechanism)
Identifiers
Product ID 72089-307_4b47dd3d-4a37-e136-e063-6394a90a31efSPL ID 4b47dd3d-4a37-e136-e063-6394a90a31efSPL set ID 95269b1f-779c-4ca0-9f86-e74e677f9900RxCUI 2380564, 2380570UNII W1792A2RVD
Pharmacologic class
Dopamine-2 Receptor 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 HCPCS code in Med-Code's directory. Nasal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N472089030715 followed by a unit qualifier and the quantity

Package 72089-0307-15. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

GIMOTI is indicated for the relief of symptoms in adults with acute and recurrent diabetic gastroparesis. GIMOTI is a dopamine-2 (D 2 ) antagonist indicated for the relief of symptoms in adults with acute and recurrent diabetic gastroparesis. ( 1 ) Limitations of Use : GIMOTI is not recommended for use in: pediatric patients due to the risk of tardive dyskinesia (TD) and other extrapyramidal symptoms as well as the risk of methemoglobinemia in neonates. ( 1 , 8.4 ) moderate or severe hepatic impairment (Child-Pugh B or C), moderate or severe renal impairment (creatinine clearance less than 60 mL/minute), and patients concurrently using strong CYP2D6 inhibitors due to the risk of increased dr…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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