NDC codes

FDA NDC Directory
Product NDC (as listed)76385-107Labeler and product segments. Claims need a package NDC.
Product NDC at billing width76385-0107Add 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
76385-107-0176385010701100 TABLET in 1 BOTTLE (76385-107-01)Marketed from May 15, 2019
76385-107-10763850107101000 TABLET in 1 BOTTLE (76385-107-10)Marketed from May 15, 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)
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 210819
Marketing start
Listing expires
DEA schedule
CV
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 76385-107_606720c6-e55e-4338-b18a-1e1b5018ab7dSPL ID 606720c6-e55e-4338-b18a-1e1b5018ab7dSPL set ID 5117f26c-488f-4ba6-b115-22baf12557f3RxCUI 1190572UNII W24OD7YW48, 03J5ZE7KA5UPC 0376385107017
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

N476385010701 followed by a unit qualifier and the quantity

Package 76385-0107-01. 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 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)

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