NDC codes

FDA NDC Directory
Product NDC (as listed)67046-1258Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67046-1258Add 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
67046-1258-36704612580330 CAPSULE in 1 BLISTER PACK (67046-1258-3)Marketed from Apr 28, 2026

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 040319
Marketing start
Listing expires
Other FDA classes
Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 67046-1258_508a6d6b-0713-4b01-e063-6294a90a293dSPL ID 508a6d6b-0713-4b01-e063-6294a90a293dSPL set ID 508a7d45-4efd-8532-e063-6294a90a7741RxCUI 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

N467046125803 followed by a unit qualifier and the quantity

Package 67046-1258-03. 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 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 040319

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

FDA NDC Directory listings under ANDA 040319
ProductStrengthForm · routeLabelerProduct NDC
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralBryant Ranch Prepack71335-2316
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralAurobindo Pharma Limited59651-719
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-8578
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralNuCare Pharmaceuticals, Inc.68071-3674
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralREMEDYREPACK INC.70518-4331
Dicyclomine HydrochlorideDicyclomine hydrochloride 10 mg/1CapsuleOralBryant Ranch Prepack72162-2613

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