NDC codes

FDA NDC Directory
Product NDC (as listed)71205-909Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0909Add 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
71205-909-0071205090900100 TABLET in 1 BOTTLE (71205-909-00)Marketed from Jul 16, 2021
71205-909-11712050909111000 TABLET in 1 BOTTLE (71205-909-11)Marketed from Jul 16, 2021
71205-909-307120509093030 TABLET in 1 BOTTLE (71205-909-30)Marketed from Jul 16, 2021
71205-909-5571205090955500 TABLET in 1 BOTTLE (71205-909-55)Marketed from Jul 16, 2021
71205-909-607120509096060 TABLET in 1 BOTTLE (71205-909-60)Marketed from Jul 16, 2021
71205-909-907120509099090 TABLET in 1 BOTTLE (71205-909-90)Marketed from Jul 16, 2021

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)
Diphenoxylate Hydrochloride and Atropine Sulfate
Generic name (nonproprietary)
diphenoxylate hydrochloride and atropine sulfate
Active ingredients
Diphenoxylate hydrochloride — 2.5 mg/1Atropine sulfate — .025 mg/1
Dosage form
Tablet
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213413
Marketing start
Listing expires
DEA schedule
CV
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 71205-909_d6e4b4d5-8bf3-4e39-a1ad-c3ccca5fcab2SPL ID d6e4b4d5-8bf3-4e39-a1ad-c3ccca5fcab2SPL set ID 593f2d01-5d24-450e-a6cf-204b7420f971RxCUI 1190572UNII W24OD7YW48, 03J5ZE7KA5UPC 0371205909307
Pharmacologic class
Anticholinergic; Antidiarrheal; Cholinergic Muscarinic Antagonist

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

N471205090900 followed by a unit qualifier and the quantity

Package 71205-0909-00. 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 Diphenoxylate hydrochloride and atropine sulfate tablets are indicated as adjunctive therapy in the management of diarrhea in patients 13 years of age and older.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 213413

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

FDA NDC Directory listings under ANDA 213413
ProductStrengthForm · routeLabelerProduct NDC
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-809
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-8090
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralLeading Pharma, LLC69315-910
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralREMEDYREPACK INC.70518-3915
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.72789-375
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralA-S Medication Solutions50090-5589
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralA-S Medication Solutions50090-5592
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralRedpharm Drug67296-2240
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralBryant Ranch Prepack71335-1693
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralRedpharm Drug Inc.67296-1485
Diphenoxylate Hydrochloride And Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralDirect Rx72189-336

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