NDC codes

FDA NDC Directory
Product NDC (as listed)0536-1337Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00536-1337Add 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
0536-1337-09005361337093 BOTTLE, PLASTIC in 1 BOX (0536-1337-09) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Sep 17, 2021
0536-1337-35005361337351 BOTTLE, PLASTIC in 1 BOX (0536-1337-35) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Sep 17, 2021

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
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209206
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0536-1337_09bfc71c-cebe-4d12-8c99-d5b2017f5a79SPL ID 09bfc71c-cebe-4d12-8c99-d5b2017f5a79SPL set ID 150faf42-491f-403b-869b-48edd431d1ccRxCUI 359817UNII 6M3C89ZY6RUPC 0305361337094
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

N400536133709 followed by a unit qualifier and the quantity

Package 00536-1337-09. 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 ANDA 209206

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

FDA NDC Directory listings under ANDA 209206
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-734
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRite Aid Corporation11822-3317
Nicotine Sugar Freenicotine polacrilexNicotine 4 mg/1LozengeOralCVS Pharmacy69842-858
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralCardinal Health (Leader) 7000070000-0562
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralCardinal Health (Leader) 7000070000-0561
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRugby Laboratories, Inc.0536-1338
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-957
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-9570
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-9580
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-732

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