Over-the-counter drug · NDA
Nicorette 4mg Fruit Chill Gum, Lil Drug Store NDC 66715-8124
nicotine polacrilex · Nicotine 4 mg/1 · Gum, Chewing · Buccal · Lil' Drug Store Products, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 66715-8124-0 | 66715812400 | 1 BLISTER PACK in 1 CARTON (66715-8124-0) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from May 6, 2022 |
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
- Brand name (proprietary)
- Nicorette 4mg Fruit Chill Gum, Lil Drug Store
- Generic name (nonproprietary)
- nicotine polacrilex
- Active ingredients
- Nicotine — 4 mg/1
- Dosage form
- Gum, Chewing
- Route
- Buccal
- Product type
- Over-the-counter drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 020066
- Marketing start
- Listing expires
- Other FDA classes
- Nicotine (Chemical structure)
- Identifiers
- Product ID 66715-8124_0e85dcfa-d9e2-5fbb-e063-6394a90aeae6SPL ID 0e85dcfa-d9e2-5fbb-e063-6394a90aeae6SPL set ID 0e85dcfa-d9e1-5fbb-e063-6394a90aeae6RxCUI 105071, 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. Buccal products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N466715812400followed by a unit qualifier and the quantityPackage 66715-8124-00. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under NDA 020066
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Nicorette Spearmint Burstnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0355 |
| Nicorette Spearmint Burstnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0533 |
| Nicorette Cinnamon Surgenicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0467 |
| Nicorette White Ice Mintnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0475 |
| Nicorette Mintnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0230 |
| Nicorette 4mg Cinnamon Surgenicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingBuccal | Lil' Drug Store products, Inc. | 66715-8123 |
| Nicorette 4mg White Ice Mint Gum, Lil Drug Storenicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingBuccal | Lil' Drug Store Products, Inc. | 66715-8125 |
| Nicorette Fruit Chill nicotine polacrilexnicotine | Nicotine 4 mg/1 | Gum, ChewingOral | Lil' Drug Store Products, Inc. | 29485-5270 |
| Nicorette White Mint nicotine polacrilexnicotine | Nicotine 4 mg/1 | Gum, ChewingOral | Lil' Drug Store Products, Inc. | 29485-5271 |
| Nicorette Fruit Chillnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0242 |
| Nicorette Originalnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0158 |