Over-the-counter drug · ANDA

Nicotine Mini (Nicotine polacrilex) NDC 30142-209

Nicotine 4 mg/1 · Lozenge · Oral · Kroger Company

NDC codes

FDA NDC Directory
Product NDC (as listed)30142-209Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0209Add 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
30142-209-02301420209023 CONTAINER in 1 CARTON (30142-209-02) / 27 LOZENGE in 1 CONTAINER (30142-209-01)Marketed from Apr 19, 2016

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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 Mini
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Lozenge
Route
Oral
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203690
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 30142-209_c31291cb-b0f9-42dd-8ff9-928dbb97031cSPL ID c31291cb-b0f9-42dd-8ff9-928dbb97031cSPL set ID 965be729-d417-4ae6-a2a9-ed06c2287d42RxCUI 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

N430142020902 followed by a unit qualifier and the quantity

Package 30142-0209-02. 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 30142-209

What is NDC 30142-209?
30142-209 is the product NDC for Nicotine Mini (nicotine polacrilex), Nicotine 4 mg/1 lozenge, listed with the FDA by Kroger Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine Mini (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
Kroger Company, NDC labeler code 30142. 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 Mini?
32 other product NDCs are listed under this name. See all Nicotine Mini 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 Mini NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-73972288-0739-14
nicotine mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-79772288-0797-14
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-37572288-0375-0172288-0375-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-56972288-0569-0172288-0569-0472288-0569-07
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralP & L Development, LLC59726-65259726-0652-0459726-0652-27
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralHC Jones, Inc.83253-97983253-0979-1883253-0979-2783253-0979-72+1 more
nicotine mininicotine polacrilexNicotine 4 mg/1LozengeOralWalgreen Company0363-601100363-6011-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralWalgreen Company0363-705100363-7051-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralRising Pharma Holdings, Inc.57237-32057237-0320-4257237-0320-7257237-0320-81
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralRising Pharma Holdings, Inc.57237-32157237-0321-4257237-0321-7257237-0321-81

All 33 Nicotine Mini NDCs

Other NDCs under ANDA 203690

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

FDA NDC Directory listings under ANDA 203690
ProductStrengthForm · routeLabelerProduct NDC
Basic Care Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-077
basic care nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-223
basic care nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-642
basic care nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-734
basic care nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-808
basic care nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-957
berkley and jensen nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralBJWC68391-734
berkley and jensen nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralBJWC68391-957
Blipnicotine polacrilexNicotine 2 mg/1LozengeOralBlip Products, Inc.82966-222
Blipnicotine polacrilexNicotine 4 mg/1LozengeOralBlip Products, Inc.82966-303
Blipnicotine polacrilexNicotine 2 mg/1LozengeOralBlip Products, Inc.82966-734
Blipnicotine polacrilexNicotine 4 mg/1LozengeOralBlip Products, Inc.82966-957
CareOne Mini Nicotine Polacrilexnicotine polacrilexNicotine 4 mg/1LozengeOralAmerican Sales Company41520-957
CareOne Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmerican Sales Company41520-734
Dg Health Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralDolgencorp Inc55910-669
Equate Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWal-Mart Stores Inc49035-734
equate nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWal-Mart Stores Inc49035-791
Equate nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWal-Mart Stores Inc49035-900
equate nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWALMART INC.79903-104
equate nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWALMART INC.79903-160

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