NDC codes

FDA NDC Directory
Product NDC (as listed)59726-913Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59726-0913Add 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
59726-913-1659726091316160 BLISTER PACK in 1 CARTON (59726-913-16) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Mar 1, 2024

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 — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079038
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 59726-913_ecd9cb80-d22d-4582-bf97-cb227fef1d55SPL ID ecd9cb80-d22d-4582-bf97-cb227fef1d55SPL set ID fbb3f6af-529f-40d8-a193-1aed4f2aa769RxCUI 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

N459726091316 followed by a unit qualifier and the quantity

Package 59726-0913-16. 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 079038

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

FDA NDC Directory listings under ANDA 079038
ProductStrengthForm · routeLabelerProduct NDC
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingBuccalAAFES/Your Military Exchanges55301-504
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralLucy Goods, Inc.72224-931
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreens0363-9310
Nicotine Polacrilex coated fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalCVS Pharmacy69842-025
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalPublix Supermarkets, Inc.56062-504
Habitrol Nicotine Polacrilex Gum 4 mg Coated Fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralDr. Reddy's Laboratories Inc.75907-300
Rugby Nicotine Polacrilex Gum, Coated Fruit Flavornicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalRugby Laboratories0536-3387
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-0342
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-918

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