Over-the-counter drug · ANDA

Good Sense Nicotine (Nicotine polacrilex) NDC 0113-0170

Nicotine 4 mg/1 · Gum, Chewing · Oral · L. Perrigo Company

NDC codes

FDA NDC Directory
Product NDC (as listed)0113-0170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00113-0170Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0113-0170-000011301700000113017000310 BLISTER PACK in 1 CARTON (0113-0170-00) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from May 14, 2026
0113-0170-290011301702900113017029220 BLISTER PACK in 1 CARTON (0113-0170-29) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Jan 29, 2026
0113-0170-60001130170600011301706020 BLISTER PACK in 1 CARTON (0113-0170-60) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from May 6, 2005
0113-0170-71001130170710011301707150 BLISTER PACK in 1 CARTON (0113-0170-71) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Dec 30, 2018

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Good Sense Nicotine
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Labeler
L. Perrigo CompanyNDC labeler code 0113
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076789
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0113-0170_f788eb4d-7f74-4930-a96c-415ca34da784SPL ID f788eb4d-7f74-4930-a96c-415ca34da784SPL set ID ae802de5-8e1b-439f-ab81-db4bd7241c91RxCUI 311975UNII 6M3C89ZY6R
Pharmacologic class
Cholinergic Nicotinic Agonist

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400113017000 followed by a unit qualifier and the quantity

Package 00113-0170-00. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Use • reduces withdrawal symptoms, including nicotine craving, associated with quitting smoking

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0113-0170

What is NDC 0113-0170?
0113-0170 is the product NDC for Good Sense Nicotine (nicotine polacrilex), Nicotine 4 mg/1 gum, chewing, listed with the FDA by L. Perrigo Company. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Good Sense Nicotine (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
L. Perrigo Company, NDC labeler code 0113. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Good Sense Nicotine?
28 other product NDCs are listed under this name. See all Good Sense Nicotine NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Good Sense Nicotine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
good sense nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralL. Perrigo Company0113-630500113-6305-60
good sense nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralL Perrigo Company0113-609900113-6099-2700113-6099-76
Good Sense Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralL. Perrigo Company0113-796900113-7969-01
good sense nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralL. Perrigo Company0113-799900113-7999-60
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-411100113-4111-06
Good Sense Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralL. Perrigo Company0113-602000113-6020-0600113-6020-60
Good Sense Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralL. Perrigo Company0113-702000113-7020-14
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralL. Perrigo Company0113-703100113-7031-14
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralL. Perrigo Company0113-502300113-5023-2700113-5023-6000113-5023-76
Good Sense Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralL. Perrigo Company0113-250200113-2502-2700113-2502-6000113-2502-76

All 29 Good Sense Nicotine NDCs

Other NDCs under ANDA 076789

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 076789
ProductStrengthForm · routeLabelerProduct NDC
basic care nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-170
berkley and jensen nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBJWC68391-170
careone nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmerican Sales Company41520-891
Equate nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWal-Mart Stores Inc49035-170
foster and thrive nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralStrategic Sourcing Services LLC70677-1167
kirkland signature quit 4nicotine polacrilexNicotine 4 mg/1Gum, ChewingOralCostco Wholesale Company63981-170
members mark nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralSam's West Inc68196-170
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralRite Aid Corporation11822-0170
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralH E B37808-849
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralMeijer Distribution Inc41250-170
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralPublix Super Markets Inc56062-812
signature care nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralSafeway21130-522
Topcare Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralTopco Associates LLC36800-170
up and up uncoated original nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralTarget Corporation82442-170

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