NDC codes

FDA NDC Directory
Product NDC (as listed)68071-3255Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68071-3255Add 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
68071-3255-16807132550110 TABLET in 1 BOTTLE (68071-3255-1)Marketed from Jun 8, 2017
68071-3255-26807132550220 TABLET in 1 BOTTLE (68071-3255-2)Marketed from Jun 8, 2017
68071-3255-36807132550330 TABLET in 1 BOTTLE (68071-3255-3)Marketed from Jun 8, 2017
68071-3255-56807132550515 TABLET in 1 BOTTLE (68071-3255-5)Marketed from Jun 8, 2017
68071-3255-66807132550660 TABLET in 1 BOTTLE (68071-3255-6)Marketed from Jun 8, 2017
68071-3255-86807132550828 TABLET in 1 BOTTLE (68071-3255-8)Marketed from Jun 8, 2017
68071-3255-96807132550990 TABLET in 1 BOTTLE (68071-3255-9)Marketed from Jun 8, 2017

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 085223
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 68071-3255_1cc31537-db23-8244-e063-6394a90a3797SPL ID 1cc31537-db23-8244-e063-6394a90a3797SPL set ID 517646d8-366e-5cf2-e054-00144ff88e88RxCUI 991086UNII CQ903KQA31UPC 0368071325522
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

N468071325501 followed by a unit qualifier and the quantity

Package 68071-3255-01. 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 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 ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 085223

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

FDA NDC Directory listings under ANDA 085223
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralActavis Pharma, Inc.0591-0795
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.43063-045
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralProficient Rx LP63187-784
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNorthwind Health Company, LLC51655-257

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