Dicyclomine Hydrochloride NDC 72266-127

NDC codes

FDA NDC Directory

Product NDC (as listed)72266-127Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72266-0127Add 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 NDC	11-digit (billing)	Package	Copy
72266-127-05	72266012705	5 VIAL, SINGLE-DOSE in 1 CARTON (72266-127-05) / 2 mL in 1 VIAL, SINGLE-DOSE (72266-127-01)Marketed from Dec 30, 2019

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): Dicyclomine Hydrochloride
Generic name (nonproprietary): dicyclomine hydrochloride
Active ingredients: Dicyclomine hydrochloride — 10 mg/mL
Dosage form: Injection, Solution
Route: Intramuscular
Labeler: Fosun Pharma USA Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 210979
Marketing start: Dec 30, 2019
Listing expires: Dec 31, 2027
Other FDA classes: Cholinergic Antagonists (Mechanism)
Identifiers: Product ID 72266-127_3f2b31a2-9bf4-0d55-e063-6394a90ae598SPL ID 3f2b31a2-9bf4-0d55-e063-6394a90ae598SPL set ID cbc22f25-e100-4c59-8f38-5f82113166fbRxCUI 991065UNII 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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N472266012705 followed by a unit qualifier and the quantity

Package 72266-0127-05. 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 Oct 19, 2019.

Indications (excerpt from the label)

Dicyclomine hydrochloride injection is indicated for the treatment of patients with functional bowel/irritable bowel syndrome. Dicyclomine hydrochloride injection 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)