NDC codes

FDA NDC Directory
Product NDC (as listed)0517-2901Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00517-2901Add 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
0517-2901-01005172901011 VIAL in 1 CARTON (0517-2901-01) / .2 mL in 1 VIALMarketed from Aug 19, 2025
0517-2901-100051729011010 VIAL in 1 CARTON (0517-2901-10) / .2 mL in 1 VIALMarketed from Aug 19, 2025

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)
Gvoke VialDx
Generic name (nonproprietary)
glucagon injection
Active ingredients
Glucagon — 1 mg/.2mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 212097
Marketing start
Marketing end
Other FDA classes
Decreased GI Motility (Physiologic effect)Decreased GI Smooth Muscle Tone (Physiologic effect)Decreased Glycolysis (Physiologic effect)Increased Gluconeogenesis (Physiologic effect)Increased Glycogenolysis (Physiologic effect)
Identifiers
Product ID 0517-2901_054da60f-7e40-4886-912a-1034c09be68bSPL ID 054da60f-7e40-4886-912a-1034c09be68bSPL set ID 359982a8-ec5c-4927-8c0f-89771e0f942bRxCUI 2587358, 2587361UNII 76LA80IG2G
Pharmacologic class
Antihypoglycemic Agent; Gastrointestinal Motility Inhibitor

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

N400517290101 followed by a unit qualifier and the quantity

Package 00517-2901-01. 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)

GVOKE is an antihypoglycemic agent indicated for subcutaneous use for the treatment of severe hypoglycemia in adult and pediatric patients aged two years and older with diabetes ( 1.1 ) GVOKE VialDx is a gastrointestinal motility inhibitor indicated for intravenous use as a diagnostic aid during radiologic examinations to temporarily inhibit movement of the gastrointestinal tract in adult patients ( 1.2 ) 1.1 Severe Hypoglycemia in Adult and Pediatric Patients Aged 2 Years and Older with Diabetes GVOKE is indicated for subcutaneous use for the treatment of severe hypoglycemia in adult and pediatric patients aged two and older with diabetes. 1.2 Diagnostic Aid in Adults GVOKE VialDx is indica…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 212097

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

FDA NDC Directory listings under NDA 212097
ProductStrengthForm · routeLabelerProduct NDC
Gvoke Kitglucagon injection, solutionGlucagon 1 mg/.2mLInjection, SolutionSubcutaneousXeris Pharmaceuticals, Inc.72065-140
Gvoke HypoPen 0.5 mg Auto-Injectorglucagon injection, solutionGlucagon .5 mg/.1mLInjection, SolutionSubcutaneousXeris Pharmaceuticals, Inc.72065-120
Gvoke HypoPen 1 mg Auto-Injectorglucagon injection, solutionGlucagon 1 mg/.2mLInjection, SolutionSubcutaneousXeris Pharmaceuticals, Inc.72065-121
Gvoke PFS 1 mg Pre-filled Syringeglucagon injection, solutionGlucagon 1 mg/.2mLInjection, SolutionSubcutaneousXeris Pharmaceuticals, Inc.72065-131

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