NDC codes

FDA NDC Directory
Product NDC (as listed)67296-2294Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67296-2294Add 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
67296-2294-46729622940415 TABLET in 1 BOTTLE, PLASTIC (67296-2294-4)Marketed from Jul 1, 2023

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 216782
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 67296-2294_57e5edc9-3a2f-8cc2-e063-6394a90a230eSPL ID 57e5edc9-3a2f-8cc2-e063-6394a90a230eSPL set ID 57e5f041-9a6e-9d0c-e063-6294a90ab54cRxCUI 991086UNII CQ903KQA31UPC 0324979200033, 0324979200019
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

N467296229404 followed by a unit qualifier and the quantity

Package 67296-2294-04. 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 is 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

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 216782

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

FDA NDC Directory listings under ANDA 216782
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralA-S Medication Solutions50090-7309
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralUpsher-Smith Laboratories, LLC24979-200
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-3645
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNuCare Pharmaceuticals,Inc.68071-3648
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralREMEDYREPACK INC.70518-3917
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralGolden State Medical Supply, Inc.51407-821
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralSt. Mary's Medical Park Pharmacy60760-931

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