NDC codes

FDA NDC Directory
Product NDC (as listed)68788-8751Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68788-8751Add 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
68788-8751-26878887510220 TABLET in 1 BOTTLE, PLASTIC (68788-8751-2)Marketed from Sep 13, 2023
68788-8751-36878887510330 TABLET in 1 BOTTLE, PLASTIC (68788-8751-3)Marketed from Oct 11, 2024
68788-8751-66878887510660 TABLET in 1 BOTTLE, PLASTIC (68788-8751-6)Marketed from Oct 11, 2024
68788-8751-96878887510990 TABLET in 1 BOTTLE, PLASTIC (68788-8751-9)Marketed from Oct 11, 2024

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 217916
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 68788-8751_00f785fd-3c18-4e62-a0c2-18ce7ae30f25SPL ID 00f785fd-3c18-4e62-a0c2-18ce7ae30f25SPL set ID 3ee013cc-ab23-40a1-a44d-1d027c63b132RxCUI 991086UNII CQ903KQA31
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

N468788875102 followed by a unit qualifier and the quantity

Package 68788-8751-02. 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 ( ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 217916

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

FDA NDC Directory listings under ANDA 217916
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralBionpharma Inc.69452-311
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralA-S Medication Solutions50090-7882
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNorthwind Health Company, LLC82868-103
Dicyclomine HydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralBryant Ranch Prepack71335-2506

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