NDC codes

FDA NDC Directory
Product NDC (as listed)58602-855Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58602-0855Add 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
58602-855-81586020855814 CONTAINER in 1 CARTON (58602-855-81) / 27 LOZENGE in 1 CONTAINERMarketed from May 13, 2022
58602-855-84586020855843 CONTAINER in 1 CARTON (58602-855-84) / 27 LOZENGE in 1 CONTAINERMarketed from May 13, 2022
58602-855-85586020855855 CONTAINER in 1 CARTON (58602-855-85) / 27 LOZENGE in 1 CONTAINERMarketed from May 13, 2022

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 mini
Active ingredients
Nicotine — 4 mg/1
Dosage form
Lozenge
Route
Oral
Labeler
Aurohealth LLCNDC labeler code 58602
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215357
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 58602-855_cce7a914-2e44-4ef0-b0c0-12e58fc601afSPL ID cce7a914-2e44-4ef0-b0c0-12e58fc601afSPL set ID 169c7976-f865-4716-953d-383e435d67c5RxCUI 359818UNII 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

N458602085581 followed by a unit qualifier and the quantity

Package 58602-0855-81. 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 58602-855

What is NDC 58602-855?
58602-855 is the product NDC for Nicotine (nicotine polacrilex mini), Nicotine 4 mg/1 lozenge, listed with the FDA by Aurohealth LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine (Nicotine polacrilex mini).
What is the active ingredient?
Nicotine.
Who is the labeler?
Aurohealth LLC, NDC labeler code 58602. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nicotine?
196 other product NDCs are listed under this name. See all 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 Nicotine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-75572288-0755-06
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-86372288-0863-06
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralSafeway21130-77221130-0772-02
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-96972288-0969-76
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-86972288-0869-76
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCardinal Health 107, LLC55154-681855154-6818-00
nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-65172288-0651-14
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreen Company0363-251100363-2511-27
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralSixarp, LLC59368-46359368-0463-02
nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-88872288-0888-14

All 197 Nicotine NDCs

Other NDCs under ANDA 215357

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

FDA NDC Directory listings under ANDA 215357
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilex miniNicotine 4 mg/1LozengeOralAurohealth LLC58602-723
Nicotinenicotine polacrilex miniNicotine 2 mg/1LozengeOralAurohealth LLC58602-722
Nicotinenicotine polacrilex miniNicotine 2 mg/1LozengeOralAurohealth LLC58602-854
Nicotinenicotine polacrilex miniNicotine 2 mg/1LozengeOralBLIP PRODUCTS, INC.82966-001
Nicotinenicotine polacrilex miniNicotine 4 mg/1LozengeOralBLIP PRODUCTS, INC.82966-002
Amazon Basic Care Nicotine Polacrilexnicotine polacrilex miniNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-690
Amazon Basic Care Nicotine Polacrilexnicotine polacrilex miniNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-694

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