NDC codes

FDA NDC Directory
Product NDC (as listed)67296-2142Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67296-2142Add 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
67296-2142-16729621420110 TABLET in 1 BOTTLE (67296-2142-1)Marketed from Dec 14, 2022
67296-2142-26729621420215 TABLET in 1 BOTTLE (67296-2142-2)Marketed from Dec 14, 2022
67296-2142-56729621420515 TABLET in 1 BOTTLE (67296-2142-5)Marketed from Dec 14, 2022
67296-2142-6672962142066 TABLET in 1 BOTTLE (67296-2142-6)Marketed from Dec 14, 2022

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)
Dicyclomine hydrochloride
Generic name (nonproprietary)
dicyclomine hydrochloride
Active ingredients
Dicyclomine hydrochloride — 20 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 216736
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 67296-2142_46c3434c-05fb-106d-e063-6394a90a4b36SPL ID 46c3434c-05fb-106d-e063-6394a90a4b36SPL set ID 3b0ae3ed-77ef-d0df-e063-6294a90a7d17RxCUI 991086UNII CQ903KQA31UPC 0372888198309, 0372888119014, 0372888198002, 0372888198057, 0372888198125, 0372888119304, 0372888119007, 0372888119052, 0372888198019
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

N467296214201 followed by a unit qualifier and the quantity

Package 67296-2142-01. 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)

Dicyclomine hydrochloride tablets are indicated for the treatment of patients with functional bowel/irritable bowel syndrome. Dicyclomine hydrochloride is 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 216736

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

FDA NDC Directory listings under ANDA 216736
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8622
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNorthwind Health Company, LLC51655-548
Dicyclomine hydrochlorideDicyclomine hydrochloride 40 mg/1TabletOralTrifluent Pharma, LLC73352-119
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralRedpharm Drug67296-2175
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-802
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralA-S Medication Solutions50090-7732
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralBryant Ranch Prepack71335-2226
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralAdvagen Pharma Ltd.,72888-119
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-466
Dicyclomine hydrochlorideDicyclomine hydrochloride 40 mg/1TabletOralAdvagen Pharma Ltd.,72888-198

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