NDC codes

FDA NDC Directory
Product NDC (as listed)0054-0748Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00054-0748Add 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
0054-0748-2500054074825100 CAPSULE in 1 BOTTLE, PLASTIC (0054-0748-25)Marketed from Jun 5, 2023
0054-0748-31000540748311000 CAPSULE in 1 BOTTLE, PLASTIC (0054-0748-31)Marketed from Jun 5, 2023

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)
Dicyclomine hydrochloride
Generic name (nonproprietary)
dicyclomine hydrochloride
Active ingredients
Dicyclomine hydrochloride — 10 mg/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 040204
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 0054-0748_99d7d1ce-47b5-4bbd-afe0-908505a9a51bSPL ID 99d7d1ce-47b5-4bbd-afe0-908505a9a51bSPL set ID 99d7d1ce-47b5-4bbd-afe0-908505a9a51bRxCUI 991061UNII CQ903KQA31
Pharmacologic class
Anticholinergic

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

N400054074825 followed by a unit qualifier and the quantity

Package 00054-0748-25. 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)

Dicyclomine hydrochloride capsules, USP are indicated for the treatment of patients with functional bowel/irritable bowel syndrome. Dicyclomine hydrochloride capsules, USP are an antispasmodic and anticholinergic (antimuscarinic) agent indicated for the treatment of functional bowel/irritable bowel syndrome (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040204

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

FDA NDC Directory listings under ANDA 040204
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine hydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8483
dicyclomine hydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralHikma Pharmaceuticals USA Inc.0054-0883
Dicyclomine hydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralGolden State Medical Supply, Inc.51407-783

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