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  5. NDC Package Code: 58914-080-52 Bentyl

NDC Package 58914-080-52 Bentyl

Dicyclomine Hydrochloride Injection, Solution Intramuscular - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

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:
58914-080-52
Package Description:
5 AMPULE in 1 BOX / 2 mL in 1 AMPULE
Product Code:
58914-080
Proprietary Name:
Bentyl
Non-Proprietary Name:
Dicyclomine Hydrochloride
Substance Name:
Dicyclomine Hydrochloride
Usage Information:
BENTYL® (dicyclomine hydrochloride) is indicated for the treatment of patients with functional bowel/irritable bowel syndrome.
11-Digit NDC Billing Format:
58914008052
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 991065 - dicyclomine HCl 20 MG in 2 ML Injection
  • RxCUI: 991065 - 2 ML dicyclomine hydrochloride 10 MG/ML Injection
  • RxCUI: 991065 - dicyclomine hydrochloride 20 MG per 2 ML Injection
  • RxCUI: 991069 - Bentyl 20 MG in 2 ML Injection
  • RxCUI: 991069 - 2 ML dicyclomine hydrochloride 10 MG/ML Injection [Bentyl]
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Allergan, Inc.
    Dosage Form:
    Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
    Administration Route(s):
  • Intramuscular - Administration within a muscle.
    • Active Ingredient(s):
  • DICYCLOMINE HYDROCHLORIDE 20 mg/2mL
    • Pharmacologic Class(es):
  • Anticholinergic - [EPC] (Established Pharmacologic Class)
  • Cholinergic Antagonists - [MoA] (Mechanism of Action)
    • Sample Package:
    No
    FDA Application Number:
    NDA008370
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    08-13-1952
    End Marketing Date:
    04-30-2025
    Exclude Flag:
    N
    Code Structure:

    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.

    NDC HCPCS Crosswalk

    This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

    NDC 58914-080-52 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    58914008052J0500Dicyclomine injection20 MG2515

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 58914-080-52?

    The NDC Packaged Code 58914-080-52 is assigned to a package of 5 ampule in 1 box / 2 ml in 1 ampule of Bentyl, a human prescription drug labeled by Allergan, Inc.. The product's dosage form is injection, solution and is administered via intramuscular form.

    Is NDC 58914-080 included in the NDC Directory?

    Yes, Bentyl with product code 58914-080 is active and included in the NDC Directory. The product was first marketed by Allergan, Inc. on August 13, 1952.

    What is the NDC billing unit for package 58914-080-52?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

    What is the 11-digit format for NDC 58914-080-52?

    The 11-digit format is 58914008052. 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 5-3-2 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-258914-080-525-4-258914-0080-52