Dicyclomine Hydrochloride NDC 82868-103

NDC codes

FDA NDC Directory

Product NDC (as listed)82868-103Labeler and product segments. Claims need a package NDC.

Product NDC at billing width82868-0103Add 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
82868-103-30	82868010330	30 TABLET in 1 BOTTLE, PLASTIC (82868-103-30)Marketed from Mar 6, 2026

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 — 20 mg/1
Dosage form: Tablet
Route: Oral
Labeler: Northwind Health Company, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 217916
Marketing start: Mar 6, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Cholinergic Antagonists (Mechanism)
Identifiers: Product ID 82868-103_4dddb142-52c7-840b-e063-6394a90ad344SPL ID 4dddb142-52c7-840b-e063-6394a90ad344SPL set ID 4dddbff3-2531-b35e-e063-6294a90a1d3bRxCUI 991086UNII 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 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

N482868010330 followed by a unit qualifier and the quantity

Package 82868-0103-30. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 217916

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

FDA NDC Directory listings under ANDA 217916
Product	Strength	Form · route	Labeler	Product NDC
Dicyclomine Hydrochloride	Dicyclomine hydrochloride 20 mg/1	TabletOral	Bionpharma Inc.	69452-311
Dicyclomine Hydrochloride	Dicyclomine hydrochloride 20 mg/1	TabletOral	Preferred Pharmaceuticals Inc.	68788-8751
Dicyclomine Hydrochloride	Dicyclomine hydrochloride 20 mg/1	TabletOral	A-S Medication Solutions	50090-7882
Dicyclomine Hydrochloride	Dicyclomine hydrochloride 20 mg/1	TabletOral	Bryant Ranch Prepack	71335-2506