Over-the-counter drug · ANDA

Nicotine (Nicotine polacrilex) NDC 0363-4049

Nicotine 2 mg/1 · Lozenge · Oral · Walgreen Company

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-4049Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-4049Add 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
0363-4049-02003634049022 CONTAINER in 1 CARTON (0363-4049-02) / 40 LOZENGE in 1 CONTAINER (0363-4049-01)Marketed from Mar 12, 2024

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)
Nicotine
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Lozenge
Route
Oral
Labeler
Walgreen CompanyNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077007
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0363-4049_8cd1928b-b6cc-425f-91ee-dde130ad3ebcSPL ID 8cd1928b-b6cc-425f-91ee-dde130ad3ebcSPL set ID af8fadbb-25a7-4ab7-a665-808e4b41978aRxCUI 359817UNII 6M3C89ZY6RUPC 0012345678905
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

N400363404902 followed by a unit qualifier and the quantity

Package 00363-4049-02. 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 0363-4049

What is NDC 0363-4049?
0363-4049 is the product NDC for Nicotine (nicotine polacrilex), Nicotine 2 mg/1 lozenge, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nicotine?
195 other product NDCs are listed under this name. See all 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 Nicotine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-75572288-0755-06
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-86372288-0863-06
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-96972288-0969-76
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-86972288-0869-76
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCardinal Health 107, LLC55154-681855154-6818-00
nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-65172288-0651-14
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreen Company0363-251100363-2511-27
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralSixarp, LLC59368-46359368-0463-02
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-88872288-0888-14
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmazon.com Services LLC72288-51872288-0518-0672288-0518-60

All 196 Nicotine NDCs

Other NDCs under ANDA 077007

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

FDA NDC Directory listings under ANDA 077007
ProductStrengthForm · routeLabelerProduct NDC
berkley and jensen nicotine polacrilexnicotine polacrilexNicotine 4 mg/1LozengeOralBJWC68391-873
Members Mark Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralSam's West Inc68196-873
good sense nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralL. Perrigo Company0113-0873
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRite Aid Corporation11822-1649
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralRite Aid Corporation11822-1720
Equate Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWal-Mart Stores Inc49035-998
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWalgreen Company0363-0873
stop smoking aidnicotine polacrilexNicotine 4 mg/1LozengeOralPublix Super Markets Inc56062-873
berkley and jensen nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralBJWC68391-344
basic care nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-492
nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWalgreen Company0363-7044
basic care nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-509
Nicotine PolacrilexNicotine 4 mg/1LozengeOralPadagis Israel Pharmaceuticals Ltd45802-873
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralHyVee Inc42507-344
Good Sense Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralL. Perrigo Company0113-2502
nicotine polacrilexnicotineNicotine 4 mg/1LozengeOralH E B37808-948
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralSixarp, LLC59368-463
Topcare Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralTopco Associates LLC76162-403
nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralMeijer, Inc.79481-1100
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralMeijer, Inc.79481-1123

Showing 20 of 39.

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