NDC codes

FDA NDC Directory
Product NDC (as listed)49035-170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width49035-0170Add 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
49035-170-294903501702949035017029220 BLISTER PACK in 1 CARTON (49035-170-29) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Feb 25, 2020

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)
Equate nicotine
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Labeler
Wal-Mart Stores IncNDC labeler code 49035
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076789
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 49035-170_09305580-0cf9-4250-80fd-c5d62b73b1dbSPL ID 09305580-0cf9-4250-80fd-c5d62b73b1dbSPL set ID 0eb7bd68-7260-404c-a928-7898c6c26572RxCUI 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

N449035017029 followed by a unit qualifier and the quantity

Package 49035-0170-29. 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 .

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 49035-170

What is NDC 49035-170?
49035-170 is the product NDC for Equate nicotine (nicotine polacrilex), Nicotine 4 mg/1 gum, chewing, listed with the FDA by Wal-Mart Stores Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Equate nicotine (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
Wal-Mart Stores Inc, NDC labeler code 49035. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Equate nicotine?
25 other product NDCs are listed under this name. See all Equate 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 Equate nicotine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Equate Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWALMART INC.79903-35479903-0354-2079903-0354-80
Equate Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWALMART INC.79903-35379903-0353-2079903-0353-80
equate nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWALMART INC.79903-18279903-0182-2079903-0182-80
equate nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWALMART INC.79903-10479903-0104-0879903-0104-27
equate nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWALMART INC.79903-16079903-0160-0879903-0160-27
equate nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralWal-Mart Stores Inc49035-41549035-0415-78
equate nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWal-Mart Stores Inc49035-30949035-0309-78
equate nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWal-Mart Stores Inc49035-79149035-0791-10
Equate nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWal-Mart Stores Inc49035-90049035-0900-10
Equate Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWal-Mart Stores Inc49035-20149035-0201-0949035-0201-10

All 26 Equate nicotine NDCs

Other NDCs under ANDA 076789

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

FDA NDC Directory listings under ANDA 076789
ProductStrengthForm · routeLabelerProduct NDC
basic care nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-170
berkley and jensen nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBJWC68391-170
careone nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmerican Sales Company41520-891
foster and thrive nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralStrategic Sourcing Services LLC70677-1167
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-0170
kirkland signature quit 4nicotine polacrilexNicotine 4 mg/1Gum, ChewingOralCostco Wholesale Company63981-170
members mark nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralSam's West Inc68196-170
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralRite Aid Corporation11822-0170
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralH E B37808-849
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralMeijer Distribution Inc41250-170
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralPublix Super Markets Inc56062-812
signature care nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralSafeway21130-522
Topcare Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralTopco Associates LLC36800-170
up and up uncoated original nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralTarget Corporation82442-170

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