NDC Package 0904-6969-80 Dicyclomine Hydrochloride

View Billable Units, 11-Digit Format, RxNorm

Package Information
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

0904-6969-80

Package Description:

1000 CAPSULE in 1 BOTTLE, PLASTIC

Product Code:

0904-6969

Proprietary Name:

Dicyclomine Hydrochloride

11-Digit NDC Billing Format:

00904696980

Billing Unit:

EA - Billing unit of "each" is used when the product is dispensed in discreet units.

NDC to RxNorm Crosswalk:

1000 EA

Labeler Name:

Major Pharmaceuticals

Sample Package:

FDA Application Number:

ANDA040204

Marketing Category:

ANDA - A product marketed under an approved Abbreviated New Drug Application.

Start Marketing Date:

02-28-1997

End Marketing Date:

05-31-2021

Listing Expiration Date:

05-31-2021

Exclude Flag:

Code Structure:

0904 - Major Pharmaceuticals
- 0904-6969 - Dicyclomine Hydrochloride
  - 0904-6969-80 - 1000 CAPSULE in 1 BOTTLE, PLASTIC

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0904-6969-80?

The NDC Packaged Code 0904-6969-80 is assigned to a package of 1000 capsule in 1 bottle, plastic of Dicyclomine Hydrochloride, labeled by Major Pharmaceuticals. The product's dosage form is and is administered via form.

Is NDC 0904-6969 included in the NDC Directory?

No, Dicyclomine Hydrochloride with product code 0904-6969 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Major Pharmaceuticals on February 28, 1997 and its listing in the NDC Directory is set to expire on May 31, 2021 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0904-6969-80?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1000.

What is the 11-digit format for NDC 0904-6969-80?

The 11-digit format is 00904696980. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
4-4-2	0904-6969-80	5-4-2	00904-6969-80

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