Good Sense Nicotine (nicotine polacrilex) NDC 0113-0456

NDC codes

FDA NDC Directory

Product NDC (as listed)0113-0456Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00113-0456Add 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 NDC	11-digit (billing)	Package	Copy
0113-0456-06	00113045606	160 BLISTER PACK in 1 CARTON (0113-0456-06) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Feb 20, 2026
0113-0456-60	00113045660	20 BLISTER PACK in 1 CARTON (0113-0456-60) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from May 23, 2013

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 — 2 mg/1
Dosage form: Gum, Chewing
Route: Oral
Labeler: L. Perrigo Company
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076777
Marketing start: Mar 7, 2007
Listing expires: Dec 31, 2027
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 0113-0456_c5889d9d-424d-4b2e-89bd-d990f07f1e84SPL ID c5889d9d-424d-4b2e-89bd-d990f07f1e84SPL set ID 74ce5bd9-98ad-4e41-80b0-5d7aaa122ac8RxCUI 314119UNII 6M3C89ZY6RUPC 0301130456607
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

N400113045606 followed by a unit qualifier and the quantity

Package 00113-0456-06. 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 Apr 8, 2026.

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)

Other NDCs under ANDA 076777

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

FDA NDC Directory listings under ANDA 076777
Product	Strength	Form · route	Labeler	Product NDC
Topcare Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Topco Associates LLC	36800-456
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Rite Aid Corporation	11822-0456
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Walgreen Company	0363-0456
foster and thrive nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Strategic Sourcing Services LLC	70677-1170
Nicotine	Nicotine 2 mg/1	Gum, ChewingOral	H E B	37808-682
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Meijer Distribution Inc	41250-456
Basic Care Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Amazon.com Services LLC	72288-456
up and up coated cool mint nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Target Corporation	82442-456
quitine nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	QUITINE LLC	84720-456
Equate Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Wal-Mart Stores Inc	49035-456