NDC codes

FDA NDC Directory
Product NDC (as listed)30142-749Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0749Add 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
30142-749-063014207490630142074906160 BLISTER PACK in 1 CARTON (30142-749-06) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Mar 12, 2019
30142-749-60301420749603014207496020 BLISTER PACK in 1 CARTON (30142-749-60) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Mar 12, 2019
30142-749-763014207497630142074976120 BLISTER PACK in 1 CARTON (30142-749-76) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Apr 12, 2019
30142-749-783014207497830142074978100 BLISTER PACK in 1 CARTON (30142-749-78) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Mar 12, 2019

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
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Oral
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206394
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 30142-749_6de62fbc-73e3-4eed-961c-47856dbb1ddbSPL ID 6de62fbc-73e3-4eed-961c-47856dbb1ddbSPL set ID 3621f5df-f036-4d9f-9972-40e47912d713RxCUI 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

N430142074906 followed by a unit qualifier and the quantity

Package 30142-0749-06. 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 30142-749

What is NDC 30142-749?
30142-749 is the product NDC for nicotine (nicotine polacrilex), Nicotine 2 mg/1 gum, chewing, listed with the FDA by Kroger Company. It has 4 package NDCs, 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?
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?
191 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 2 mg/1Gum, ChewingOralAmazon.com Services LLC72288-68472288-0684-02
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-73072288-0730-60
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-75572288-0755-0672288-0755-60
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-86372288-0863-06
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralSafeway21130-77221130-0772-02
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

All 192 nicotine NDCs

Other NDCs under ANDA 206394

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

FDA NDC Directory listings under ANDA 206394
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralHyVee Inc42507-343
HEB Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralH E B37808-863
nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralH E B37808-909
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralWalgreen Company0363-7269
Topcare Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralTopco Associates LLC36800-460
careone nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmerican Sales Company41520-711
nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralPublix Super Markets Inc56062-646
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralWalgreen Company0363-7050
nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralPadagis Israel Pharmaceuticals Ltd45802-827
nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralWalgreen Company0363-1012
Foster and Thrive Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralStrategic Sourcing Services LLC70677-1192
basic care nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmazon.com Services LLC72288-811
Blipnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralBlip Products, Inc.82966-012
Members Mark Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralSam's West Inc68196-012
Blipnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralBlip Products, Inc.82966-269
Quitine Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralQUITINE LLC84720-012
Berkley and Jensen NICOTINEnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralBJWC68391-012
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralMeijer Distribution Inc41250-209
Basic Care Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmazon.com Services LLC72288-292
Quitine Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralQUITINE LLC84720-755

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