NDC codes

FDA NDC Directory
Product NDC (as listed)13107-014Labeler and product segments. Claims need a package NDC.
Product NDC at billing width13107-0014Add 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
13107-014-0113107001401100 TABLET in 1 BOTTLE (13107-014-01)Marketed from Feb 28, 2023

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)
Glycopyrrolate
Generic name (nonproprietary)
glycopyrrolate
Active ingredients
Glycopyrrolate — 1 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202675
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 13107-014_1ec6c3c1-ed9c-481e-bcc0-bafb7f5c0448SPL ID 1ec6c3c1-ed9c-481e-bcc0-bafb7f5c0448SPL set ID 677f8495-a870-45b6-bb65-75b449f040ceRxCUI 197738, 197739UNII V92SO9WP2IUPC 0313107014017
Pharmacologic class
Anticholinergic; Cholinergic Muscarinic 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N413107001401 followed by a unit qualifier and the quantity

Package 13107-0014-01. 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)

Glycopyrrolate tablets are indicated in adults to reduce symptoms of a peptic ulcer as an adjunct to treatment of peptic ulcer. Limitations of Use Glycopyrrolate tablets are not indicated as monotherapy for the treatment of peptic ulcer because effectiveness in peptic ulcer healing has not been established. Glycopyrrolate tablets are anticholinergics indicated in adults to reduce symptoms of a peptic ulcer as an adjunct to treatment of peptic ulcer. ( 1 ) Limitations of Use: Not indicated as monotherapy for the treatment of peptic ulcer because effectiveness in peptic ulcer healing has not been established. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202675

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

FDA NDC Directory listings under ANDA 202675
ProductStrengthForm · routeLabelerProduct NDC
GlycopyrrolateGlycopyrrolate 2 mg/1TabletOralAurolife Pharma LLC13107-015
GlycopyrrolateGlycopyrrolate 2 mg/1TabletOralBryant Ranch Prepack71335-2720
GlycopyrrolateGlycopyrrolate 1 mg/1TabletOralBryant Ranch Prepack63629-7207
GlycopyrrolateGlycopyrrolate 1 mg/1TabletOralAvPAK50268-363
GlycopyrrolateGlycopyrrolate 2 mg/1TabletOralREMEDYREPACK INC.70518-4671
GlycopyrrolateGlycopyrrolate 1 mg/1TabletOralAmerican Health Packaging60687-458
GlycopyrrolateGlycopyrrolate 1 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8617

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