Over-the-counter drug · ANDA
Nicotine (nicotine polacrilex) NDC 11822-1649
Nicotine 4 mg/1 · Lozenge · Oral · Rite Aid Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11822-1649-0 | 11822164900 | 2 CONTAINER in 1 CARTON (11822-1649-0) / 40 LOZENGE in 1 CONTAINER (11822-1649-1)Marketed from Apr 10, 2024 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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 — 4 mg/1
- Dosage form
- Lozenge
- Route
- Oral
- Labeler
- Rite Aid Corporation
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 077007
- Marketing start
- Marketing end
- Other FDA classes
- Nicotine (Chemical structure)
- Identifiers
- Product ID 11822-1649_94586c28-b75d-45d3-b774-b1e986d43f2dSPL ID 94586c28-b75d-45d3-b774-b1e986d43f2dSPL set ID 09bc9f57-fed2-42d9-b4f2-2b71b8baa0a9RxCUI 359818UNII 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
N411822164900followed by a unit qualifier and the quantityPackage 11822-1649-00. 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.
Other NDCs under ANDA 077007
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | HyVee Inc | 42507-344 |
| nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Walgreen Company | 0363-7044 |
| nicotine polacrilexnicotine | Nicotine 4 mg/1 | LozengeOral | H E B | 37808-948 |
| Good Sense Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | L. Perrigo Company | 0113-2502 |
| nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Sixarp, LLC | 59368-463 |
| nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Amazon.com Services LLC | 72288-651 |
| good sense nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | A-S Medication Solutions | 50090-7060 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-787 |
| Good Sense Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | A-S Medication Solutions | 50090-7061 |
| careone nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | American Sales Company | 41520-701 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | HyVee Inc | 42507-690 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS Pharmacy | 59779-344 |
| kirkland signature quit 2nicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Costco Wholesale Company | 63981-344 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Rite Aid Corporation | 11822-0344 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Safeway | 21130-636 |
| exchange select nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Army & Air Force Exchange Service | 55301-873 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Kroger Company | 30142-873 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | H E B | 59640-099 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-319 |
| kirkland signature quit 4nicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Costco Wholesale Company | 63981-873 |
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