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NDC 62135-0428-12 Dicyclomine Hydrochloride 20 mg/1 Details
Dicyclomine Hydrochloride 20 mg/1
Dicyclomine Hydrochloride is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Chartwell RX, LLC. 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: 62135-0428-12Last Updated: 02/05/2023
MedLinePlus Full Drug Details: Dicyclomine
Product Information
| NDC | 62135-0428 |
|---|---|
| Product ID | 62135-428_02040f6b-875f-3662-e063-6394a90af8a6 |
| Associated GPIs | |
| GCN Sequence Number | 004924 |
| GCN Sequence Number Description | dicyclomine HCl TABLET 20 MG ORAL |
| HIC3 | J2D |
| HIC3 Description | ANTICHOLINERGICS/ANTISPASMODICS |
| GCN | 19331 |
| 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 | TABLET |
| Route | ORAL |
| Active Ingredient Strength | 20 |
| Active Ingredient Units | mg/1 |
| Substance Name | DICYCLOMINE HYDROCHLORIDE |
| Labeler Name | Chartwell RX, LLC |
| Pharmaceutical Class | Anticholinergic [EPC], Cholinergic Antagonists [MoA] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA040230 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 62135-0428-12 (62135042812)
| NDC Package Code | 62135-428-12 |
|---|---|
| Billing NDC | 62135042812 |
| Package | 120 TABLET in 1 BOTTLE (62135-428-12) |
| Marketing Start Date | 2022-12-05 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.10644 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | DICYCLOMINE 20 MG TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1 |
| 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