dicyclomine hydrochloride NDC 0054-0883

NDC codes

FDA NDC Directory

Product NDC (as listed)0054-0883Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00054-0883Add 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 NDC	11-digit (billing)	Package	Copy
0054-0883-25	00054088325	100 CAPSULE in 1 BOTTLE, PLASTIC (0054-0883-25)Marketed from Sep 15, 2026
0054-0883-31	00054088331	1000 CAPSULE in 1 BOTTLE, PLASTIC (0054-0883-31)Marketed from Sep 15, 2026

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
Labeler: Hikma Pharmaceuticals USA Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 040204
Marketing start: Sep 15, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Cholinergic Antagonists (Mechanism)
Identifiers: Product ID 0054-0883_e135daff-043e-4944-baf8-dfea510cec60SPL ID e135daff-043e-4944-baf8-dfea510cec60
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

N400054088325 followed by a unit qualifier and the quantity

Package 00054-0883-25. 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

The FDA listing for this product does not reference a label (SPL) set.

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
Product	Strength	Form · route	Labeler	Product NDC
Dicyclomine hydrochloride	Dicyclomine hydrochloride 10 mg/1	CapsuleOral	NCS HealthCare of KY, LLC dba Vangard Labs	0615-8483
Dicyclomine hydrochloride	Dicyclomine hydrochloride 10 mg/1	CapsuleOral	Hikma Pharmaceuticals USA Inc.	0054-0748
Dicyclomine hydrochloride	Dicyclomine hydrochloride 10 mg/1	CapsuleOral	Golden State Medical Supply, Inc.	51407-783