What is NDC 82804-174?

82804-174 is the product NDC for Glipizide, Glipizide 5 mg/1 tablet, listed with the FDA by Proficient Rx LP. It has 2 package NDCs, shown above in 10- and 11-digit form.

Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Glipizide?

135 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Glipizide NDC 82804-174 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)82804-174Labeler and product segments. Claims need a package NDC.

Product NDC at billing width82804-0174Add 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 NDC	11-digit (billing)	Package	Copy
82804-174-30	8280401743082804017430	30 TABLET in 1 BOTTLE (82804-174-30)Marketed from Dec 12, 2024
82804-174-90	8280401749082804017490	90 TABLET in 1 BOTTLE (82804-174-90)Marketed from Jan 20, 2025

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): Glipizide
Generic name (nonproprietary): glipizide
Active ingredients: Glipizide — 5 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Proficient Rx LPNDC labeler code 82804
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 214874
Marketing start: Oct 3, 2023
Listing expires: Dec 31, 2027
Other FDA classes: Sulfonylurea Compounds (Chemical structure)
Identifiers: Product ID 82804-174_abe14fb1-e2fa-4c89-8007-fa4c18fd70a2SPL ID abe14fb1-e2fa-4c89-8007-fa4c18fd70a2SPL set ID 6427db20-6783-439f-8c2d-64d1a6fcb9fcRxCUI 310490UNII X7WDT95N5CUPC 0382804174300
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

N482804017430 followed by a unit qualifier and the quantity

Package 82804-0174-30. 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 Feb 1, 2025.

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)

About NDC 82804-174

What is NDC 82804-174?: 82804-174 is the product NDC for Glipizide, Glipizide 5 mg/1 tablet, listed with the FDA by Proficient Rx LP. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Glipizide.
What is the active ingredient?: Glipizide.
Who is the labeler?: Proficient Rx LP, NDC labeler code 82804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glipizide?: 135 other product NDCs are listed under this name. See all Glipizide 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 Glipizide NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Glipizide	Glipizide 5 mg/1	TabletOral	AiPing Pharmaceutical, Inc.	11788-117	11788-0117-0111788-0117-0511788-0117-10
Glipizide	Glipizide 10 mg/1	TabletOral	AiPing Pharmaceutical, Inc.	11788-118	11788-0118-00
Glipizide	Glipizide 2.5 mg/1	TabletOral	AiPing Pharmaceutical, Inc.	11788-120	11788-0120-0111788-0120-0511788-0120-10
Glipizide	Glipizide 5 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-579	72789-0579-3072789-0579-6072789-0579-86+3 more
Glipizide	Glipizide 10 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-580	72789-0580-3072789-0580-6072789-0580-86+3 more
Glipizide	Glipizide 5 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4178	68788-4178-0168788-4178-0368788-4178-06+2 more
Glipizide	Glipizide 10 mg/1	TabletOral	Coupler LLC	67046-0367	67046-0367-03
Glipizide	Glipizide 5 mg/1	TabletOral	Coupler LLC	67046-0236	67046-0236-03
Glipizide	Glipizide 10 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4061	68788-4061-0168788-4061-0368788-4061-06+2 more
Glipizide	Glipizide 10 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4017	68788-4017-0168788-4017-0368788-4017-06+2 more

All 136 Glipizide NDCs

Other NDCs under ANDA 214874

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

FDA NDC Directory listings under ANDA 214874
Product	Strength	Form · route	Labeler	Product NDC
Glipizide	Glipizide 10 mg/1	TabletOral	A-S Medication Solutions	50090-7734
Glipizide	Glipizide 10 mg/1	TabletOral	A-S Medication Solutions	50090-7735
Glipizide	Glipizide 5 mg/1	TabletOral	A-S Medication Solutions	50090-7755
Glipizide	Glipizide 5 mg/1	TabletOral	A-S Medication Solutions	50090-7756
Glipizide	Glipizide 2.5 mg/1	TabletOral	TruPharma LLC	52817-385
Glipizide	Glipizide 10 mg/1	TabletOral	NuCare Pharmaceuticals, Inc.	68071-3974
Glipizide	Glipizide 10 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4017
Glipizide	Glipizide 5 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-4020
Glipizide	Glipizide 5 mg/1	TabletOral	Bryant Ranch Prepack	71335-2528
Glipizide	Glipizide 10 mg/1	TabletOral	Bryant Ranch Prepack	71335-2540
Glipizide	Glipizide 10 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-463
Glipizide	Glipizide 5 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-464
Glipizide	Glipizide 10 mg/1	TabletOral	PD-Rx Pharmaceuticals, Inc.	72789-510
Glipizide	Glipizide 2.5 mg/1	TabletOral	Advagen Pharma Limited	72888-115
Glipizide	Glipizide 5 mg/1	TabletOral	Advagen Pharma Limited	72888-116
Glipizide	Glipizide 10 mg/1	TabletOral	Advagen Pharma Limited	72888-117
Glipizide	Glipizide 15 mg/1	TabletOral	Advagen Pharma Limited	72888-231
Glipizide	Glipizide 10 mg/1	TabletOral	Advanced Rx of Tennessee, LLC	80425-0549