NDC codes

FDA NDC Directory
Product NDC (as listed)0990-7974Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00990-7974Add 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
0990-7974-08009907974084 POUCH in 1 CASE (0990-7974-08) / 1 BAG in 1 POUCH / 3000 mL in 1 BAGMarketed from Jul 1, 2019

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)
Glycine
Generic name (nonproprietary)
glycine
Active ingredients
Glycine — 1.5 g/100mL
Dosage form
Irrigant
Route
Irrigation
Labeler
ICU Medical Inc.NDC labeler code 0990
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018315
Marketing start
Listing expires
Identifiers
Product ID 0990-7974_fec5845c-710f-4a36-8d95-823471210c8aSPL ID fec5845c-710f-4a36-8d95-823471210c8aSPL set ID c10a4657-cf64-4a71-a247-363dd58993bcRxCUI 310571UNII TE7660XO1C

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.

NDC on a medical claim

N400990797408 followed by a unit qualifier and the quantity

Package 00990-7974-08. 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 1.5% Glycine Irrigation, USP is indicated for use as irrigating fluid during transurethral prostatic resection and other transurethral surgical procedures.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0990-7974

What is NDC 0990-7974?
0990-7974 is the product NDC for Glycine, Glycine 1.5 g/100mL irrigant, listed with the FDA by ICU Medical Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glycine.
What is the active ingredient?
Glycine.
Who is the labeler?
ICU Medical Inc., NDC labeler code 0990. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glycine?
2 other product NDCs are listed under this name. See all Glycine 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 Glycine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
GlycineGlycine 1.5 g/100mLIrrigantIrrigationB. Braun Medical Inc.0264-739000264-7390-60
GlycineGlycine 1.5 g/100mLSolutionIrrigationBaxter Healthcare Corporation0338-028900338-0289-47

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