NDC codes

FDA NDC Directory
Product NDC (as listed)46122-734Labeler and product segments. Claims need a package NDC.
Product NDC at billing width46122-0734Add 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
46122-734-08461220734083 BOTTLE, PLASTIC in 1 BOX (46122-734-08) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Feb 23, 2023
46122-734-624612207346224 LOZENGE in 1 BOTTLE, PLASTIC (46122-734-62)Marketed from Feb 23, 2023

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
Lozenge
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209206
Marketing start
Marketing end
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 46122-734_fb9dad9e-1858-4be6-8c7c-7cb3a4b1af95SPL ID fb9dad9e-1858-4be6-8c7c-7cb3a4b1af95SPL set ID a33b6ed6-2c75-4bab-98e5-a7f8bea21926RxCUI 359817UNII 6M3C89ZY6RUPC 0346122734080
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

N446122073408 followed by a unit qualifier and the quantity

Package 46122-0734-08. 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 209206

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

FDA NDC Directory listings under ANDA 209206
ProductStrengthForm · routeLabelerProduct NDC
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRite Aid Corporation11822-3317
Nicotine Sugar Freenicotine polacrilexNicotine 4 mg/1LozengeOralCVS Pharmacy69842-858
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralCardinal Health (Leader) 7000070000-0562
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralCardinal Health (Leader) 7000070000-0561
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralRugby Laboratories, Inc.0536-1337
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRugby Laboratories, Inc.0536-1338
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-957
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-9570
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-9580
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-732

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