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  5. NDC Package Code: 0404-9870-05 Glycopyrrolate

NDC Package 0404-9870-05 Glycopyrrolate

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0404-9870-05
Package Description:
1 VIAL in 1 BAG / 5 mL in 1 VIAL
Product Code:
0404-9870
Proprietary Name:
Glycopyrrolate
Usage Information:
Glycopyrrolate is used with other drugs to treat a certain type of stomach/intestinal ulcer (peptic ulcer). This medication may help relieve stomach/abdominal pain. However, it has not been shown to be effective in healing these ulcers, preventing them from returning, or preventing other problems caused by ulcers. Glycopyrrolate works by decreasing the amount of acid in the stomach. It also slows the natural movements of the gut and relaxes the muscles in the stomach/intestines. Glycopyrrolate belongs to a class of drugs known as anticholinergics.
11-Digit NDC Billing Format:
00404987005
Labeler Name:
Henry Schein, Inc.
Sample Package:
No
FDA Application Number:
ANDA208973
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
01-11-2022
End Marketing Date:
12-31-2023
Listing Expiration Date:
12-31-2023
Exclude Flag:
D
Code Structure:

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the disclaimer below.

NDC HCPCS Crosswalk

This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

NDC 0404-9870-05 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00404987005J1596Inj, glycopyrrolate, 0.1 mg0.1 MG511010

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0404-9870-05?

The NDC Packaged Code 0404-9870-05 is assigned to a package of 1 vial in 1 bag / 5 ml in 1 vial of Glycopyrrolate, labeled by Henry Schein, Inc.. The product's dosage form is and is administered via form.

Is NDC 0404-9870 included in the NDC Directory?

No, Glycopyrrolate with product code 0404-9870 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Henry Schein, Inc. on January 11, 2022 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 0404-9870-05?

The 11-digit format is 00404987005. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
4-4-20404-9870-055-4-200404-9870-05