NDC 69842-816OTC monographFDA OTC MONOGRAPH DRUG · M007

Bisacodyl

Active substance: Bisacodyl

30 formulations • 73 package configurations

All 103 registered NDCs — click to copy

In one line

Bisacodyl (Bisacodyl) NDC 69842-816 converts to 69842-0816-04 for billing. It is dispensed by a pharmacy and billed directly on the NDC — no HCPCS J-code is required.

openFDA Live Registry SyncHIPAA 5-4-2 StandardCMS Level II Crosswalk

Listing: 69842-816

Billing & reimbursement crosswalk

NDC • HCPCS Level II • CPT administration

Reimbursement channel

NDC direct

Oral / Topical formulation billed directly via 11-Digit NDC (No HCPCS J-Code required).

Standard pharmacy claim — no J-Code required

11-digit HIPAA NDC

69842-0816-04

Zero-padded 5-4-2 format

Standard conversion

CPT administration code

Self-Administered (Oral)

Dispensed via retail/mail pharmacy. No clinical administration procedure (CPT) required.

UB-04 revenue code

Rev 0250

0250 (General Pharmacy)

Qualifier: UN

Every registered strength and package for Bisacodyl, with 10-digit and 11-digit NDC formats
Formulation / role	Package NDC	Product NDC	11-digit HIPAA	Packaging detail
10 mg/1	69842-816-04	69842-816	69842-0816-04	1 BLISTER PACK in 1 CARTON (69842-816-04) / 4 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	69842-816-08	69842-816	69842-0816-08	2 BLISTER PACK in 1 CARTON (69842-816-08) / 4 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	69842-816-16	69842-816	69842-0816-16	4 BLISTER PACK in 1 CARTON (69842-816-16) / 4 SUPPOSITORY in 1 BLISTER PACK
5 mg/1	50804-327-56	50804-327	50804-0327-56	1 BLISTER PACK in 1 CARTON (50804-327-56) / 25 TABLET, DELAYED RELEASE in 1 BLISTER PACK
10 mg/1	57896-443-01	57896-443	57896-0443-01	20 BLISTER PACK in 1 CARTON (57896-443-01) / 5 SUPPOSITORY in 1 BLISTER PACK (57896-443-55)
Inner component	57896-443-55	57896-443	57896-0443-55	Inner component of kit (57896-443-01)
10 mg/1	57896-443-05	57896-443	57896-0443-05	10 BLISTER PACK in 1 CARTON (57896-443-05) / 5 SUPPOSITORY in 1 BLISTER PACK (57896-443-55)
10 mg/1	57896-443-12	57896-443	57896-0443-12	2 BLISTER PACK in 1 CARTON (57896-443-12) / 6 SUPPOSITORY in 1 BLISTER PACK (57896-443-66)
Inner component	57896-443-66	57896-443	57896-0443-66	Inner component of kit (57896-443-12)
10 mg/1	68016-084-08	68016-084	68016-0084-08	2 BLISTER PACK in 1 CARTON (68016-084-08) / 4 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	82568-0028-2	82568-0028	82568-0028-02	12 BLISTER PACK in 1 BOX (82568-0028-2) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	82568-0028-5	82568-0028	82568-0028-05	50 BLISTER PACK in 1 BOX (82568-0028-5) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	57237-327-03	57237-327	57237-0327-03	6 BLISTER PACK in 1 CARTON (57237-327-03) / 5 SUPPOSITORY in 1 BLISTER PACK (57237-327-51)
Inner component	57237-327-51	57237-327	57237-0327-51	Inner component of kit (57237-327-03)
10 mg/1	57237-327-21	57237-327	57237-0327-21	3 BLISTER PACK in 1 CARTON (57237-327-21) / 4 SUPPOSITORY in 1 BLISTER PACK (57237-327-04)
Inner component	57237-327-04	57237-327	57237-0327-04	Inner component of kit (57237-327-21)
Outer kit carton	43386-071-83	43386-071	43386-0071-83	1 KIT in 1 KIT (43386-071-83) * 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (43386-010-61) * 2 L in 1 BOTTLE (43386-070-17)
Inner component	43386-010-61	43386-071	43386-0010-61	Inner component of kit (43386-071-83)
Inner component	43386-070-17	43386-071	43386-0070-17	Inner component of kit (43386-071-83)
5 mg/1	0904-6407-61	0904-6407	00904-6407-61	10 BLISTER PACK in 1 BOX (0904-6407-61) / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK
10 mg/1	58980-415-04	58980-415	58980-0415-04	4 BLISTER PACK in 1 BOX (58980-415-04) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	58980-415-08	58980-415	58980-0415-08	8 BLISTER PACK in 1 BOX (58980-415-08) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	58980-415-12	58980-415	58980-0415-12	12 BLISTER PACK in 1 BOX (58980-415-12) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	58980-415-16	58980-415	58980-0415-16	16 BLISTER PACK in 1 BOX (58980-415-16) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	58980-415-50	58980-415	58980-0415-50	50 BLISTER PACK in 1 BOX (58980-415-50) / 1 SUPPOSITORY in 1 BLISTER PACK
5 mg/1	84324-132-01	84324-132	84324-0132-01	100 TABLET, COATED in 1 BOTTLE (84324-132-01)
10 mg/1	0574-7050-12	0574-7050	00574-7050-12	12 BLISTER PACK in 1 CARTON (0574-7050-12) / 1 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	0574-7050-50	0574-7050	00574-7050-50	50 BLISTER PACK in 1 CARTON (0574-7050-50) / 1 SUPPOSITORY in 1 BLISTER PACK
5 mg/1	68163-116-25	68163-116	68163-0116-25	1 BLISTER PACK in 1 CARTON (68163-116-25) / 25 TABLET, COATED in 1 BLISTER PACK
10 mg/1	70000-0573-1	70000-0573	70000-0573-01	1 BLISTER PACK in 1 CARTON (70000-0573-1) / 4 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	70000-0573-2	70000-0573	70000-0573-02	4 BLISTER PACK in 1 CARTON (70000-0573-2) / 4 SUPPOSITORY in 1 BLISTER PACK
5 mg/1	41226-003-52	41226-003	41226-0003-52	25 TABLET, COATED in 1 BLISTER PACK (41226-003-52)
10 mg/1	13709-321-01	13709-321	13709-0321-01	5 BLISTER PACK in 1 CARTON (13709-321-01) / 6 CAPSULE in 1 BLISTER PACK / 1 SUPPOSITORY in 1 CAPSULE
5 mg/1	72090-131-01	72090-131	72090-0131-01	300 TABLET, COATED in 1 BOTTLE (72090-131-01)
10 mg/1.8g	13709-328-01	13709-328	13709-0328-01	30 BLISTER PACK in 1 CARTON (13709-328-01) / 1.8 g in 1 BLISTER PACK
10 mg/1.8g	13709-328-02	13709-328	13709-0328-02	5 BLISTER PACK in 1 CARTON (13709-328-02) / 1.8 g in 1 BLISTER PACK
10 mg/1.8g	13709-328-03	13709-328	13709-0328-03	10 BLISTER PACK in 1 CARTON (13709-328-03) / 1.8 g in 1 BLISTER PACK
10 mg/1	83720-550-25	83720-550	83720-0550-25	12 SUPPOSITORY in 1 CARTON (83720-550-25)
5 mg/1	69168-398-02	69168-398	69168-0398-02	150 TABLET, COATED in 1 BOTTLE (69168-398-02)
5 mg/1	69168-398-03	69168-398	69168-0398-03	250 TABLET, COATED in 1 BOTTLE (69168-398-03)
5 mg/1	69168-398-92	69168-398	69168-0398-92	1 BLISTER PACK in 1 CARTON (69168-398-92) / 25 TABLET, COATED in 1 BLISTER PACK
5 mg/1	68016-688-10	68016-688	68016-0688-10	1 BOTTLE, PLASTIC in 1 CARTON (68016-688-10) / 100 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC
5 mg/1	68016-688-25	68016-688	68016-0688-25	1 BLISTER PACK in 1 CARTON (68016-688-25) / 25 TABLET, DELAYED RELEASE in 1 BLISTER PACK
5 mg/1	11673-182-01	11673-182	11673-0182-01	100 TABLET, COATED in 1 BOTTLE (11673-182-01)
5 mg/1	11673-182-52	11673-182	11673-0182-52	25 TABLET, COATED in 1 BLISTER PACK (11673-182-52)
10 mg/1	71457-501-01	71457-501	71457-0501-01	17 BLISTER PACK in 1 CARTON (71457-501-01) / 6 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	71457-501-12	71457-501	71457-0501-12	2 BLISTER PACK in 1 CARTON (71457-501-12) / 6 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	71457-501-24	71457-501	71457-0501-24	4 BLISTER PACK in 1 CARTON (71457-501-24) / 6 SUPPOSITORY in 1 BLISTER PACK
10 mg/1	71457-501-50	71457-501	71457-0501-50	9 BLISTER PACK in 1 CARTON (71457-501-50) / 6 SUPPOSITORY in 1 BLISTER PACK
5 mg/1	71610-700-02	71610-700	71610-0700-02	2 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (71610-700-02)
5 mg/1	71610-700-03	71610-700	71610-0700-03	3 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (71610-700-03)
5 mg/1	71610-700-04	71610-700	71610-0700-04	4 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (71610-700-04)
5 mg/1	71610-700-06	71610-700	71610-0700-06	6 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (71610-700-06)
5 mg/1	71610-700-08	71610-700	71610-0700-08	8 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (71610-700-08)
5 mg/1	71610-700-20	71610-700	71610-0700-20	20 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (71610-700-20)
5 mg/1	71335-2010-0	71335-2010	71335-2010-00	25 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-0)
5 mg/1	71335-2010-1	71335-2010	71335-2010-01	30 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-1)
5 mg/1	71335-2010-2	71335-2010	71335-2010-02	2 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-2)
5 mg/1	71335-2010-3	71335-2010	71335-2010-03	3 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-3)
5 mg/1	71335-2010-4	71335-2010	71335-2010-04	4 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-4)
5 mg/1	71335-2010-5	71335-2010	71335-2010-05	10 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-5)
5 mg/1	71335-2010-6	71335-2010	71335-2010-06	90 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-6)
5 mg/1	71335-2010-7	71335-2010	71335-2010-07	8 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-7)
5 mg/1	71335-2010-8	71335-2010	71335-2010-08	100 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-8)
5 mg/1	71335-2010-9	71335-2010	71335-2010-09	20 TABLET, DELAYED RELEASE in 1 BOTTLE (71335-2010-9)
5 mg/1	76457-003-00	76457-003	76457-0003-00	100 TABLET, COATED in 1 CARTON (76457-003-00)
5 mg/1	0904-6748-17	0904-6748	00904-6748-17	1 BLISTER PACK in 1 CARTON (0904-6748-17) / 25 TABLET, DELAYED RELEASE in 1 BLISTER PACK
5 mg/1	0904-6748-60	0904-6748	00904-6748-60	100 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0904-6748-60)
5 mg/1	0904-6748-80	0904-6748	00904-6748-80	1000 TABLET, DELAYED RELEASE in 1 BOTTLE, PLASTIC (0904-6748-80)
5 mg/1	76470-059-59	76470-059	76470-0059-59	4 CAPSULE, COATED in 1 BLISTER PACK (76470-059-59)
5 mg/1	55154-6897-0	55154-6897	55154-6897-00	10 BLISTER PACK in 1 BAG (55154-6897-0) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK
10 mg/1	0904-7142-12	0904-7142	00904-7142-12	2 BLISTER PACK in 1 CARTON (0904-7142-12) / 6 SUPPOSITORY in 1 BLISTER PACK
5 mg/1	83586-012-00	83586-012	83586-0012-00	310000 TABLET, DELAYED RELEASE in 1 BOX (83586-012-00)

Taken from the manufacturer's FDA Structured Product Labeling submission. This is the label as filed, not a summary.

3 Label Sections

INDICATIONS AND USAGE

Directions -detach one suppository from the strip -remove wrapper before inserting into the rectum adults and children 12 years of age and older 1 suppository once daily children 6 to under 12 years 1/2 suppository once daily children under 6 years do not use

DOSAGE AND ADMINISTRATION

WARNINGS AND PRECAUTIONS

Warnings For rectal use only.

Pharmacologic class

Increased Large Intestinal Motility

Every other National Drug Code registered in the same established class.

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Terms used here11-digit NDC Package NDC N4 qualifier

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Prescribing information

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Increased Large Intestinal Motility