NDC codes

FDA NDC Directory
Product NDC (as listed)50090-3560Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-3560Add 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
50090-3560-05009035600011 BLISTER PACK in 1 CARTON (50090-3560-0) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Aug 29, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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

Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Buccal
Labeler
A-S Medication SolutionsNDC labeler code 50090
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076569
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 50090-3560_8daba42e-328d-4a3a-a233-0b457e7aa7f7SPL ID 8daba42e-328d-4a3a-a233-0b457e7aa7f7SPL set ID 7b70162e-0087-466f-9b8b-8289b6e90e39RxCUI 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. Buccal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N450090356000 followed by a unit qualifier and the quantity

Package 50090-3560-00. 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 50090-3560

What is NDC 50090-3560?
50090-3560 is the product NDC for Rugby Nicotine Polacrilex Gum, Mint Flavor, Nicotine 2 mg/1 gum, chewing, listed with the FDA by A-S Medication Solutions. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Rugby Nicotine Polacrilex Gum, Mint Flavor (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
A-S Medication Solutions, NDC labeler code 50090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Rugby Nicotine Polacrilex Gum, Mint Flavor?
1 other product NDC are listed under this name. See all Rugby Nicotine Polacrilex Gum, Mint Flavor 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 Rugby Nicotine Polacrilex Gum, Mint Flavor NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Rugby Nicotine Polacrilex Gum, Mint Flavornicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalATLANTIC BIOLOGICALS CORP.17856-136217856-1362-01

Other NDCs under ANDA 076569

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

FDA NDC Directory listings under ANDA 076569
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalRugby Laboratories0536-1362
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-724
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCardinal Health 107, LLC55154-6818
Nicotine Polacrilex MINTnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalWalgreens0363-1420
Rugby Nicotine Polacrilex Gum, Mint Flavornicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalATLANTIC BIOLOGICALS CORP.17856-1362

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