NDC codes

FDA NDC Directory
Product NDC (as listed)31722-079Labeler and product segments. Claims need a package NDC.
Product NDC at billing width31722-0079Add 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
31722-079-0131722007901100 TABLET in 1 BOTTLE (31722-079-01)Marketed from May 7, 2024
31722-079-10317220079101000 TABLET in 1 BOTTLE (31722-079-10)Marketed from May 7, 2024

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
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217566
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 31722-079_24d1b166-e43d-91de-e063-6394a90ae579SPL ID 24d1b166-e43d-91de-e063-6394a90ae579SPL set ID 0590c805-537e-46d3-9500-f4942c1df2eaRxCUI 991086UNII CQ903KQA31UPC 0331722079013, 0331722079105
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

N431722007901 followed by a unit qualifier and the quantity

Package 31722-0079-01. 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)

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

Other NDCs under ANDA 217566

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

FDA NDC Directory listings under ANDA 217566
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3885
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3916
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralREMEDYREPACK INC.70518-4555
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralRedpharm Drug67296-2311
Dicyclomine hydrochlorideDicyclomine hydrochloride 20 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-4146

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