NDC codes

FDA NDC Directory
Product NDC (as listed)84897-057Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84897-0057Add 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
84897-057-608489700576060 PACKET in 1 CARTON (84897-057-60) / 1 POWDER, FOR SOLUTION in 1 PACKET (84897-057-01)Marketed from May 19, 2026

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)
L-glutamine
Generic name (nonproprietary)
l-glutamine
Active ingredients
Glutamine — 5 g/1
Dosage form
Powder, For solution
Route
Oral
Labeler
Renova Pharmaceuticals LLCNDC labeler code 84897
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 219750
Marketing start
Listing expires
Other FDA classes
Amino Acids (Chemical structure)
Identifiers
Product ID 84897-057_84675cdf-a3f0-4a1d-a69e-d46f573a7891SPL ID 84675cdf-a3f0-4a1d-a69e-d46f573a7891SPL set ID 3f324755-159b-40ee-a9f4-e6800558acf3RxCUI 1869684UNII 0RH81L854JUPC 0384897057010, 0384897057607
Pharmacologic class
Amino Acid

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

N484897005760 followed by a unit qualifier and the quantity

Package 84897-0057-60. 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)

L-glutamine oral powder is indicated to reduce the acute complications of sickle cell disease in adult and pediatric patients 5 years of age and older. L-glutamine oral powder is an amino acid indicated to reduce the acute complications of sickle cell disease in adult and pediatric patients 5 years of age and older. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 84897-057

What is NDC 84897-057?
84897-057 is the product NDC for L-glutamine, Glutamine 5 g/1 powder, for solution, listed with the FDA by Renova Pharmaceuticals LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
L-glutamine.
What is the active ingredient?
Glutamine.
Who is the labeler?
Renova Pharmaceuticals LLC, NDC labeler code 84897. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for L-glutamine?
2 other product NDCs are listed under this name. See all L-glutamine 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 L-glutamine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
L-glutamineGlutamine 5 g/1Powder, For solutionOralCamber Pharmaceuticals, Inc.31722-48331722-0483-60
L-GlutamineGlutamine 5 g/1Powder, For solutionOralANI Pharmaceuticals, Inc.70954-41770954-0417-20

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