NDC codes

FDA NDC Directory
Product NDC (as listed)0135-0355Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00135-0355Add 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
0135-0355-030013503550316 BLISTER PACK in 1 CARTON (0135-0355-03) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Sep 13, 2017

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)
Nicorette Spearmint BurstSuffix: Spearmint Burst
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020066
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0135-0355_1f929250-cbfa-d6eb-e063-6394a90a7281SPL ID 1f929250-cbfa-d6eb-e063-6394a90a7281SPL set ID 673fd19f-69b3-4f73-b9b4-18b5f4cbf69cRxCUI 105071, 209326, 311975, 314119UNII 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

N400135035503 followed by a unit qualifier and the quantity

Package 00135-0355-03. 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)

Other NDCs under NDA 020066

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

FDA NDC Directory listings under NDA 020066
ProductStrengthForm · routeLabelerProduct NDC
Nicorette Spearmint Burstnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0533
Nicorette Cinnamon Surgenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0467
Nicorette White Ice Mintnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0475
Nicorette Mintnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0230
Nicorette 4mg Cinnamon Surgenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store products, Inc.66715-8123
Nicorette 4mg Fruit Chill Gum, Lil Drug Storenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store Products, Inc.66715-8124
Nicorette 4mg White Ice Mint Gum, Lil Drug Storenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store Products, Inc.66715-8125
Nicorette Fruit Chill nicotine polacrilexnicotineNicotine 4 mg/1Gum, ChewingOralLil' Drug Store Products, Inc.29485-5270
Nicorette White Mint nicotine polacrilexnicotineNicotine 4 mg/1Gum, ChewingOralLil' Drug Store Products, Inc.29485-5271
Nicorette Fruit Chillnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0242
Nicorette Originalnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0158

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