NDC codes

FDA NDC Directory
Product NDC (as listed)43353-083Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43353-0083Add 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
43353-083-304335300833030 TABLET in 1 BOTTLE (43353-083-30)Marketed from Jul 13, 2015
43353-083-534335300835360 TABLET in 1 BOTTLE (43353-083-53)Marketed from Jul 14, 2015
43353-083-604335300836090 TABLET in 1 BOTTLE (43353-083-60)Marketed from Jul 13, 2015
43353-083-7043353008370120 TABLET in 1 BOTTLE (43353-083-70)Marketed from Jul 13, 2015
43353-083-8043353008380180 TABLET in 1 BOTTLE (43353-083-80)Marketed from Aug 15, 2015
43353-083-9043353008390240 TABLET in 1 BOTTLE (43353-083-90)Marketed from Jul 27, 2015

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
NDA authorized genericApplication NDA 012462
Marketing start
Listing expires
DEA schedule
CV
Other FDA classes
Cholinergic Antagonists (Mechanism)Cholinergic Muscarinic Antagonists (Mechanism)
Identifiers
Product ID 43353-083_a923a016-80b4-4a98-9494-ada455890843SPL ID a923a016-80b4-4a98-9494-ada455890843SPL set ID 59934cee-4e1f-4958-9e97-6de53b39daf3RxCUI 1190572UNII W24OD7YW48, 03J5ZE7KA5
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

N443353008330 followed by a unit qualifier and the quantity

Package 43353-0083-30. 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 NDA 012462

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

FDA NDC Directory listings under NDA 012462
ProductStrengthForm · routeLabelerProduct NDC
Lomotildiphenoxylate hydrochloride and atropine sulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralPfizer Laboratories Div Pfizer Inc0025-0061
Diphenoxylate Hydrochloride and Atropine SulfateDiphenoxylate hydrochloride 2.5 mg/1; Atropine sulfate .025 mg/1TabletOralMylan Pharmaceuticals Inc.59762-1061

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