NDC codes

FDA NDC Directory
Product NDC (as listed)69367-679Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69367-0679Add 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
69367-679-0169367067901100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (69367-679-01)Marketed from Apr 2, 2025

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Hyoscyamine Sulfate ODTSuffix: ODT
Generic name (nonproprietary)
hyoscyamine sulfate
Active ingredients
Hyoscyamine sulfate — .125 mg/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 69367-679_d40f28c0-8358-4b25-a957-568e01125dfeSPL ID d40f28c0-8358-4b25-a957-568e01125dfeSPL set ID 9429898d-301f-4ebc-8b1d-60595f76f1e3RxCUI 1046985UNII F2R8V82B84UPC 0369367679015

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

N469367067901 followed by a unit qualifier and the quantity

Package 69367-0679-01. 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 Hyoscyamine Sulfate Orally Disintegrating Tablets are effective as adjunctive therapy in the treatment of peptic ulcer. They can also be used to control gastric secretions, visceral spasm and hypermotility in spastic colitis, spastic bladder, cystitis, pylorospasm and associated abdominal cramps. May be used in functional intestinal disorders to reduce symptoms such as those seen in mild dysenteries, diverticulitis and acute enterocolitis. For use as adjunctive therapy in the treatment of irritable bowel syndrome (irritable colon, spastic colon, mucous colitis) and functional gastrointestinal disorders. Also used as adjunctive therapy in the treatment of neurogenic blad…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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