NDC codes

FDA NDC Directory
Product NDC (as listed)50268-199Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50268-0199Add 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
50268-199-155026801991550 BLISTER PACK in 1 BOX (50268-199-15) / 1 CAPSULE in 1 BLISTER PACK (50268-199-11)Marketed from Mar 20, 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 — 10 mg/1
Dosage form
Capsule
Route
Oral
Labeler
AvPAK
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217054
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 50268-199_54ed706a-db65-4f5f-e063-6394a90a7078SPL ID 54ed706a-db65-4f5f-e063-6394a90a7078SPL set ID 141d3818-7a87-aaa0-e063-6294a90a4866RxCUI 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

N450268019915 followed by a unit qualifier and the quantity

Package 50268-0199-15. 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 capsules are 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 217054

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

FDA NDC Directory listings under ANDA 217054
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralUpsher-Smith Laboratories, LLC24979-201
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralA-S Medication Solutions50090-7340
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralA-S Medication Solutions50090-7341
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralBryant Ranch Prepack71335-9709
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralRedpharm Drug67296-2310
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralREMEDYREPACK INC.70518-4432

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