NDC codes

FDA NDC Directory
Product NDC (as listed)59762-1061Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59762-1061Add 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
59762-1061-159762106101100 TABLET in 1 BOTTLE (59762-1061-1)Marketed from Aug 7, 2012

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Diphenoxylate Hydrochloride and Atropine Sulfate
Generic name (nonproprietary)
diphenoxylate hydrochloride and atropine sulfate
Active ingredients
Diphenoxylate hydrochloride — 2.5 mg/1Atropine sulfate — .025 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 012462
Marketing start
Marketing end
DEA schedule
CV
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 59762-1061_b4b0055f-415c-49fa-9c67-cc600ac024beSPL ID b4b0055f-415c-49fa-9c67-cc600ac024beSPL set ID 83bcc2fb-6fb0-4f0e-8e66-592d327684ecRxCUI 1190572UNII W24OD7YW48, 03J5ZE7KA5UPC 0359762106117
Pharmacologic class
Anticholinergic; Antidiarrheal; 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

N459762106101 followed by a unit qualifier and the quantity

Package 59762-1061-01. 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)

INDICATIONS AND USAGE Diphenoxylate hydrochloride and atropine sulfate is indicated as adjunctive therapy in the management of diarrhea in patients 13 years of age and older.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 012462

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

FDA NDC Directory listings under NDA 012462
ProductStrengthForm · routeLabelerProduct NDC
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC43353-083
Lomotildiphenoxylate hydrochloride and atropine sulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralPfizer Laboratories Div Pfizer Inc0025-0061

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