NDC codes

FDA NDC Directory
Product NDC (as listed)55741-449Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55741-0449Add 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
55741-449-565574104495656 PATCH in 1 CARTON (55741-449-56) / 1 KIT in 1 PATCHMarketed from May 14, 2015

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 transdermal systemSuffix: transdermal system
Generic name (nonproprietary)
nicotine
Dosage form
Kit
Route
Transdermal
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020076
Marketing start
Listing expires
Identifiers
Product ID 55741-449_bed562f2-f5b3-632b-4b2c-fdf34a061098SPL ID bed562f2-f5b3-632b-4b2c-fdf34a061098SPL set ID b9946e3c-80c9-3076-7c32-e2988ac07048RxCUI 198029, 198030, 198031, 892244

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. Transdermal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N455741044956 followed by a unit qualifier and the quantity

Package 55741-0449-56. 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 NDA 020076

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

FDA NDC Directory listings under NDA 020076
ProductStrengthForm · routeLabelerProduct NDC
Nicotine Transdermal SystemnicotineNicotine 21 mg/24hPatch, Extended releaseTransdermalA-S Medication Solutions50090-7936
Nicotine transdermal system step 1nicotineNicotine 21 mg/24hPatch, Extended releaseTransdermalRugby Laboratories0536-1108
Habitrol Step 2nicotine transdermal system patchNicotine 14 mg/24hPatch, Extended releaseTransdermalDr. Reddy's Laboratories Inc.55741-447
Nicotine Transdermalnicotine—KitTransdermalRite Aid Corporation11822-3627
Nicotine transdermal system step 3nicotineNicotine 7 mg/24hPatch, Extended releaseTransdermalA-S Medication Solutions50090-6383
Habitrol Step 3nicotine transdermal system patchNicotine 7 mg/24hPatch, Extended releaseTransdermalDr. Reddy's Laboratories Inc.55741-446
Habitrol Step 1nicotine transdermal system patchNicotine 21 mg/24hPatch, Extended releaseTransdermalDr. Reddy's Laboratories Inc.55741-448
Nicotine transdermal system step 1nicotineNicotine 21 mg/24hPatch, Extended releaseTransdermalDr. Reddy's Laboratories Inc.43598-448
Nicotine transdermal system step 3nicotineNicotine 7 mg/24hPatch, Extended releaseTransdermalDr. Reddy's Laboratories Inc.43598-446
Nicotine transdermal system step 2nicotineNicotine 14 mg/24hPatch, Extended releaseTransdermalDr. Reddy's Laboratories Inc.43598-447
Nicotine transdermal system step 3nicotineNicotine 7 mg/24hPatch, Extended releaseTransdermalRite Aid Corporation11822-4973
Nicotine transdermal system step 2nicotineNicotine 14 mg/24hPatch, Extended releaseTransdermalRite Aid Corporation11822-4974
Nicotine transdermal system step 1nicotineNicotine 21 mg/24hPatch, Extended releaseTransdermalRite Aid Corporation11822-4975
Nicotine transdermal system step 3nicotineNicotine 7 mg/24hPatch, Extended releaseTransdermalCVS Pharmacy59779-443
Nicotine transdermal system step 1nicotineNicotine 21 mg/24hPatch, Extended releaseTransdermalCVS Pharmacy59779-448
Nicotine transdermal system step 2nicotineNicotine 14 mg/24hPatch, Extended releaseTransdermalCVS Pharmacy59779-445
Nicotine Transdermal System step 3nicotineNicotine 7 mg/24hPatch, Extended releaseTransdermalAmerisourceBergen Drug Corporation46122-831
Nicotine Transdermal System step 2nicotineNicotine 14 mg/24hPatch, Extended releaseTransdermalAmerisourceBergen Drug Corporation46122-832
Nicotine Transdermal System step 1nicotineNicotine 21 mg/24hPatch, Extended releaseTransdermalAmerisourceBergen Drug Corporation46122-833
Nicotine transdermal system step 3nicotineNicotine 7 mg/24hPatch, Extended releaseTransdermalGolden State Medical Supply, Inc.60429-443

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