Dicyclomine Hydrochloride Injection, Solution
NDC Package 70069-441-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

Dicyclomine Hydrochloride injection is uSP is indicated for the treatment of patients with functional bowel/irritable bowel syndrome. This formulation utilizes a injection, solution delivery system. Marketed by Somerset Therapeutics, Llc, this product is identified by NDC 70069-441 and is authorized under FDA application ANDA214333.

Identification & Billing

NDC Package Code
70069-441-05
Package Description
5 AMPULE in 1 CARTON / 2 mL in 1 AMPULE (70069-441-01)
Product Code
70069-441
11-Digit Billing Format
70069044105
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dicyclomine Hydrochloride
Non-Proprietary Name
Dicyclomine Hydrochloride
Substance Name
Dicyclomine Hydrochloride
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
Intramuscular - Administration within a muscle.
Active Ingredient(s)
DICYCLOMINE HYDROCHLORIDE 10 mg/mL
Pharmacologic Class
Usage Information
Dicyclomine hydrochloride injection, USP is indicated for the treatment of patients with functional bowel/irritable bowel syndrome.

Regulatory & Marketing

Labeler Name
Somerset Therapeutics, Llc
Product Type
Human Prescription Drug
FDA Application #
ANDA214333
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
11-05-2024
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Billing & HCPCS Mapping

To facilitate insurance claims and reimbursement, this drug package is mapped to specific HCPCS administrative codes. This crosswalk aligns clinical data with the billing standards used in ASP (Average Sales Price), AWP, and OPPS payment systems. Use the cards below to identify the correct billable units for provider claims.

J0500
Source: PDAC
INJECTION, DICYCLOMINE HCL, UP TO 20 MG
HCPCS Dosage 20 MG
Units / Pkg

Note for Medical Coders: These mappings are synthesized from various CMS datasets including OPPS, PrEP, and DAC (Data Analysis and Coding) contractors. Always confirm unit conversions against the current quarter's pricing files before final submission.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 70069-441-05 identifies a specific commercial package of 5 ampule in 1 carton / 2 ml in 1 ampule (70069-441-01) of Dicyclomine Hydrochloride, a human prescription drug labeled by Somerset Therapeutics, Llc. This injection, solution is formulated for intramuscular use and contains dicyclomine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Somerset Therapeutics, Llc on November 05, 2024. The current certification is valid through December 31, 2026.

How is this Somerset Therapeutics, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 70069044105. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
70069-441-05
11-Digit CMS (5-4-2)
70069-0441-05

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.