NDC codes

FDA NDC Directory
Product NDC (as listed)69842-026Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0026Add 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
69842-026-4469842002644100 BLISTER PACK in 1 CARTON (69842-026-44) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Jan 1, 2014

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 Polacrilex coated cinnamonSuffix: coated cinnamon
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Buccal
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079216
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 69842-026_9fc64556-c3b0-4388-a5b1-13f77b402430SPL ID 9fc64556-c3b0-4388-a5b1-13f77b402430SPL set ID d9da6bd9-f655-446d-98b8-5b22db80dad2RxCUI 311975, 314119UNII 6M3C89ZY6RUPC 0050428165348
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

N469842002644 followed by a unit qualifier and the quantity

Package 69842-0026-44. 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 69842-026

What is NDC 69842-026?
69842-026 is the product NDC for Nicotine Polacrilex coated cinnamon, Nicotine 2 mg/1 gum, chewing, listed with the FDA by CVS Pharmacy. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine Polacrilex coated cinnamon (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
CVS Pharmacy, NDC labeler code 69842. 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 Polacrilex coated cinnamon?
1 other product NDC are listed under this name. See all Nicotine Polacrilex coated cinnamon 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 Polacrilex coated cinnamon NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotine Polacrilex coated cinnamonnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalCVS Pharmacy69842-02869842-0028-44

Other NDCs under ANDA 079216

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

FDA NDC Directory listings under ANDA 079216
ProductStrengthForm · routeLabelerProduct NDC
Habitrol Nicotine Polacrilex 2 mg Coated Cinnamonnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralDr. Reddy's Laboratories Inc.55741-004
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalRugby Laboratories0536-3404
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralH E B37808-820
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralWalgreens0363-9240
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralRite Aid Corporation11822-2331
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralLucy Goods, Inc.72224-924

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