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NDC 00054-0622-63 Dicyclomine Hydrochloride 10 mg/5mL Details
Dicyclomine Hydrochloride 10 mg/5mL
Dicyclomine Hydrochloride is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is DICYCLOMINE HYDROCHLORIDE.
MedlinePlus Drug Summary
Dicyclomine is used to treat the symptoms of irritable bowel syndrome. Dicyclomine is in a class of medications called anticholinergics. It relieves muscle spasms in the gastrointestinal tract by blocking the activity of a certain natural substance in the body.
Related Packages: 00054-0622-63Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Dicyclomine
Product Information
| NDC | 00054-0622 |
|---|---|
| Product ID | 0054-0622_8ad8c412-22d6-424f-9a52-48074ab28d4f |
| Associated GPIs | 49103010102050 |
| GCN Sequence Number | 071032 |
| GCN Sequence Number Description | dicyclomine HCl SOLUTION 10 MG/5 ML ORAL |
| HIC3 | J2D |
| HIC3 Description | ANTICHOLINERGICS/ANTISPASMODICS |
| GCN | 34719 |
| HICL Sequence Number | 002045 |
| HICL Sequence Number Description | DICYCLOMINE HCL |
| Brand/Generic | Generic |
| Proprietary Name | Dicyclomine Hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Dicyclomine Hydrochloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 10 |
| Active Ingredient Units | mg/5mL |
| Substance Name | DICYCLOMINE HYDROCHLORIDE |
| Labeler Name | Hikma Pharmaceuticals USA Inc. |
| Pharmaceutical Class | Anticholinergic [EPC], Cholinergic Antagonists [MoA] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA212286 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00054-0622-63 (00054062263)
| NDC Package Code | 0054-0622-63 |
|---|---|
| Billing NDC | 00054062263 |
| Package | 473 mL in 1 BOTTLE (0054-0622-63) |
| Marketing Start Date | 2020-05-22 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.18801 |
| Pricing Unit | ML |
| Effective Date | 2024-01-17 |
| NDC Description | DICYCLOMINE 10 MG/5 ML SOLN |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
pharmacies include
independent retail community pharmacies and chain pharmacies. The prices
are updated on a
weekly and monthly basis