nicotine (nicotine polacrilex) NDC 41250-029

NDC codes

FDA NDC Directory

Product NDC (as listed)41250-029Labeler and product segments. Claims need a package NDC.

Product NDC at billing width41250-0029Add 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 NDC	11-digit (billing)	Package	Copy
41250-029-29	41250002929	220 BLISTER PACK in 1 CARTON (41250-029-29) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Apr 24, 2019
41250-029-96	41250002996	170 BLISTER PACK in 1 CARTON (41250-029-96) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Feb 6, 2005

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: Meijer Distribution Inc
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076775
Marketing start: Feb 6, 2005
Listing expires: Dec 31, 2027
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 41250-029_36362e3e-34dc-49b4-a126-91f29a204b5bSPL ID 36362e3e-34dc-49b4-a126-91f29a204b5bSPL set ID db0d922a-407f-49ac-b5d3-acc7112a373eRxCUI 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

N441250002929 followed by a unit qualifier and the quantity

Package 41250-0029-29. 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 Jan 15, 2026.

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 076775

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

FDA NDC Directory listings under ANDA 076775
Product	Strength	Form · route	Labeler	Product NDC
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Rite Aid Corporation	11822-0029
kirkland signature quit 2nicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Costco Wholesale Company	63981-029
basic care nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Amazon.com Services LLC	72288-029
Good Sense Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	L. Perrigo Company	0113-0029
TopCare Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Topco Associates LLC	36800-029
CareOne nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	American Sales Company	41520-792
Equate nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Wal-Mart Stores Inc	49035-029
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Publix Super Markets Inc	56062-298
Foster and Thrive Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Strategic Sourcing Services LLC	70677-1166
up and up uncoated nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Target Corporation	82442-029
members mark nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Sam's West Inc	68196-029
berkley and jensen nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	BJWC	68391-029
nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	H E B	37808-781
nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Safeway	21130-389