members mark nicotine (nicotine polacrilex) NDC 68196-170

NDC codes

FDA NDC Directory

Product NDC (as listed)68196-170Labeler and product segments. Claims need a package NDC.

Product NDC at billing width68196-0170Add 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 NDC	11-digit (billing)	Package	Copy
68196-170-01	68196017001	2 CARTON in 1 PACKAGE (68196-170-01) / 190 BLISTER PACK in 1 CARTON (68196-170-56) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Apr 18, 2019
68196-170-38	68196017038	380 BLISTER PACK in 1 CARTON (68196-170-38) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Sep 11, 2025

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): members mark nicotine
Generic name (nonproprietary): nicotine polacrilex
Active ingredients: Nicotine — 4 mg/1
Dosage form: Gum, Chewing
Route: Oral
Labeler: Sam's West Inc
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 076789
Marketing start: Sep 20, 2007
Listing expires: Dec 31, 2027
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 68196-170_5e836db2-00e1-4bd4-9f3d-b1b70761ba1aSPL ID 5e836db2-00e1-4bd4-9f3d-b1b70761ba1aSPL set ID 8edad777-6491-4ab2-9835-709bf54d5f0cRxCUI 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

N468196017001 followed by a unit qualifier and the quantity

Package 68196-0170-01. 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 Jun 11, 2026.

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)