NDC codes

FDA NDC Directory
Product NDC (as listed)72789-563Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72789-0563Add 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
72789-563-017278905630172789056301100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE, PLASTIC (72789-563-01)Marketed from May 11, 2026

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)
Hyoscyamine Sulfate
Generic name (nonproprietary)
hyoscyamine sulfate
Active ingredients
Hyoscyamine sulfate — .125 mg/1
Dosage form
Tablet, Orally disintegrating
Route
Oral
Labeler
PD-Rx Pharmaceuticals, Inc.NDC labeler code 72789
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 72789-563_5191a27f-ba08-8d37-e063-6394a90a61f7SPL ID 5191a27f-ba08-8d37-e063-6394a90a61f7SPL set ID 51a07955-485f-1357-e063-6394a90ad3f8RxCUI 1046985UNII F2R8V82B84

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

N472789056301 followed by a unit qualifier and the quantity

Package 72789-0563-01. 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)

INDICATIONS AND USAGE Hyoscyamine Sulfate Orally Disintegrating Tablets are effective as adjunctive therapy in the treatment of peptic ulcer. They can also be used to control gastric secretions, visceral spasm and hypermotility in spastic colitis, spastic bladder, cystitis, pylorospasm and associated abdominal cramps. May be used in functional intestinal disorders to reduce symptoms such as those seen in mild dysenteries, diverticulitis and acute enterocolitis. For use as adjunctive therapy in the treatment of irritable bowel syndrome (irritable colon, spastic colon, mucous colitis) and functional gastrointestinal disorders. Also used as adjunctive therapy in the treatment of neurogenic blad…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72789-563

What is NDC 72789-563?
72789-563 is the product NDC for Hyoscyamine Sulfate, Hyoscyamine sulfate .125 mg/1 tablet, orally disintegrating, listed with the FDA by PD-Rx Pharmaceuticals, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Hyoscyamine Sulfate.
What is the active ingredient?
Hyoscyamine sulfate.
Who is the labeler?
PD-Rx Pharmaceuticals, Inc., NDC labeler code 72789. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Hyoscyamine Sulfate?
28 other product NDCs are listed under this name. See all Hyoscyamine Sulfate NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Hyoscyamine Sulfate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1TabletOralGranulation Technology, Inc.63561-020363561-0203-01
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1Tablet, Orally disintegratingOralGranulation Technology, Inc.63561-019763561-0197-01
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1TabletSublingualGranulation Technology, Inc.63561-020263561-0202-01
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1TabletOralREMEDYREPACK INC.70518-443670518-4436-00
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1TabletOralWestminster Pharmaceuticals, LLC69367-67769367-0677-01
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1TabletOralProficient Rx LP82804-96582804-0965-3082804-0965-6082804-0965-64+3 more
Hyoscyamine sulfateHyoscyamine sulfate .125 mg/1Tablet, Orally disintegratingOralChartwell RX, LLC62135-85862135-0858-12
Hyoscyamine SulfateHyoscyamine sulfate .375 mg/1Tablet, Extended releaseOralPatrin Pharma, Inc.39328-05239328-0052-10
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1Tablet, Orally disintegratingOralPatrin Pharma, Inc.39328-04939328-0049-10
Hyoscyamine SulfateHyoscyamine sulfate .125 mg/1TabletOralPatrin Pharma, Inc.39328-05039328-0050-10

All 29 Hyoscyamine Sulfate NDCs

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