NDC codes

FDA NDC Directory
Product NDC (as listed)50090-0127Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-0127Add 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 NDC11-digit (billing)PackageCopy
50090-0127-05009001270030 CAPSULE in 1 BOTTLE (50090-0127-0)Marketed from Dec 19, 2014
50090-0127-15009001270128 CAPSULE in 1 BOTTLE (50090-0127-1)Marketed from Nov 28, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 084285
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 50090-0127_b28ba232-0abd-480c-afef-0df9de113c9bSPL ID b28ba232-0abd-480c-afef-0df9de113c9bSPL set ID 5f5d7145-118b-4cab-bfe0-19f7740ef1feRxCUI 991061UNII 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

N450090012700 followed by a unit qualifier and the quantity

Package 50090-0127-00. 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 is indicated for the treatment of patients with functional bowel/irritable bowel syndrome. Dicyclomine hydrochloride 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)

Other NDCs under ANDA 084285

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

FDA NDC Directory listings under ANDA 084285
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralChartwell RX, LLC62135-718
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralProficient Rx LP63187-196
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralCardinal Health 107, LLC55154-3565
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralNuCare Pharmaceuticals,Inc.68071-3035
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralCardinal Health 107, LLC55154-8183
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralBryant Ranch Prepack71335-0471
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralMajor Pharmaceuticals0904-6987
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralLannett Company, LLC0527-0586
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralAphena Pharma Solutions - Tennessee, LLC71610-265
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralAmerican Health Packaging60687-369
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralA-S Medication Solutions50090-0126

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