Home › Drug Codes › J Codes › J1597 · Glyrx-Pf
Updated October 1st, 2026

Glyrx-Pf J Code: J1597

Injection, glycopyrrolate (glyrx-pf), 0.1 mg

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Medicare Payment Limit ?
$1.272
/ HCPCS billing unit
APC Payment Limit ?
Not published
CMS publishes none for Q4 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
6
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Drug & Product Overview

HCPCS Descriptor Injection, glycopyrrolate (glyrx-pf), 0.1 mg
HCPCS Added Date July 1, 2024
Manufacturer Exela Pharma Sciences
Route of Administration Intramuscular, Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About Glyrx-Pf

Glyrx-pf is a medication aligned to the HCPCS J Code: J1597 for billing, pricing, and reimbursement purposes in the United States. It is an Anesthetic drug administered via the intramuscular or intravenous routes and manufactured by Exela Pharma Sciences.

Manufacturers, reach out to us to add more information.

NDC Code Information

Based on publicly available CMS files. Showing 2 of 6 NDCs — log in for the full crosswalk.

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Glyrx-Pf Pricing & Reimbursement

J1597 Private Payer Reimbursement
$1.30 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q4 2026

Glycopyrrolate 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
J1596 Generic Code (Multiple Manufacturers) Glycopyrrolate Injection, glycopyrrolate, 0.1 mg
J1597 Exela Pharma Sciences Glycopyrrolate Injection, glycopyrrolate (glyrx-pf), 0.1 mg
J1598 Fresenius Kabi Glycopyrrolate Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg

Glyrx-Pf CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
Not on the CMS JW / JZ list

This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers. Wastage billing guide →

Glyrx-Pf Medically Unlikely Edits (MUE)

The most billing units of J1597 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.1 mg.

Practitioner Office & Hospital Outpatient
8 units / day
= 0.8 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Glyrx-Pf Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

anesthesia peptic ulcer
Drug Class
Anticholinergic [EPC]Cholinergic Antagonists [MoA]Cholinergic Muscarinic Antagonist [EPC]Cholinergic Muscarinic Antagonists [MoA]

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Frequently Asked Questions

Is there an available Glyrx-Pf billing and coding guide?
Our team did not identify patient assistance information for Glyrx-Pf
Are there any available Glyrx-Pf patient assistance programs?
Our team did not identify patient assistance information for Glyrx-Pf
Where can I find Glyrx-Pf prescribing information?
Glyrx-Pf prescribing information can be found at the link below: Visit Here →
Where can I find Glyrx-Pf side effect information?
Our team did not identify a source of side effect information for Glyrx-Pf.
Does billing Glyrx-Pf require JZ/JW wastage modifiers?
CMS does not include Glyrx-Pf (J1597) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J1597. For more information, visit the link below.

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