J0500

Code

J0500

Description

Injection, dicyclomine hcl, up to 20 mg

CMS HCPCS quarterly update

• 00517-1980-05 Dicyclomine HCl, American Regent, Inc.. Billable units per 11-digit NDC: 5.
• 00641-6173-10 Dicyclomine HCl, Hikma Pharmaceuticals USA Inc.. Billable units per 11-digit NDC: 10.
• 14789-0010-02 Dicyclomine HCl, Nexus Pharmaceuticals, LLC. Billable units per 11-digit NDC: 5.
• 50090-4553-00 Bentyl, A-S Medication Solutions. Billable units per 11-digit NDC: 1.
• 51662-1559-03 Dicyclomine HCl, HF Acquisition Co. LLC, DBA HealthFirst. Billable units per 11-digit NDC: 5.
• 58914-0080-52 Bentyl, Allergan, Inc.. Billable units per 11-digit NDC: 5.
• 63323-0842-02 Dicyclomine HCl, FreseniUS Kabi USA, LLC. Billable units per 11-digit NDC: 5.
• 70069-0431-05 Dicyclomine HCl, Somerset Pharma, LLC. Billable units per 11-digit NDC: 5.
• 70069-0441-05 Dicyclomine HCl, Somerset Pharma, LLC. Billable units per 11-digit NDC: 5.
• 70436-0147-81 Dicyclomine HCl, Slate Run Pharmaceuticals. Billable units per 11-digit NDC: 5.
• 72266-0127-05 Dicyclomine HCl, Fosun Pharma USA Inc.. Billable units per 11-digit NDC: 5.

Source: CMS ASP NDC-HCPCS crosswalk, effective October 1, 2026 through December 31, 2026.