NDC codes

FDA NDC Directory
Product NDC (as listed)37808-821Labeler and product segments. Claims need a package NDC.
Product NDC at billing width37808-0821Add 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
37808-821-1637808082116160 BLISTER PACK in 1 CARTON (37808-821-16) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Oct 28, 2022

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 — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Labeler
H E B
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079219
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 37808-821_5ae26a58-b2e2-43dc-9e28-9e4bae1e558aSPL ID 5ae26a58-b2e2-43dc-9e28-9e4bae1e558aSPL set ID 056ca637-d5b9-4790-a5a4-c9b58f93e88bRxCUI 311975UNII 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

N437808082116 followed by a unit qualifier and the quantity

Package 37808-0821-16. 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 079219

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

FDA NDC Directory listings under ANDA 079219
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreens0363-3911
Habitrol Nicotine Polacrilex 4 mg Coated Cinnamonnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralDr. Reddy's Laboratories Inc.55741-001
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralMcKesson Corporation dba SKY Packaging63739-369
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralLucy Goods, Inc.72224-930
Nicotine Polacrilex coated cinnamonnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalCVS Pharmacy69842-028
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalRugby Laboratories0536-3405

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