Nicotine Sugar Free (nicotine polacrilex) NDC 69842-932

NDC codes

FDA NDC Directory

Product NDC (as listed)69842-932Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69842-0932Add 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
69842-932-08	69842093208	4 BOTTLE, PLASTIC in 1 BOX (69842-932-08) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020
69842-932-27	69842093227	1 BOTTLE, PLASTIC in 1 BOX (69842-932-27) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020
69842-932-89	69842093289	7 BOTTLE, PLASTIC in 1 BOX (69842-932-89) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020

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 Sugar FreeSuffix: Sugar Free
Generic name (nonproprietary): nicotine polacrilex
Active ingredients: Nicotine — 2 mg/1
Dosage form: Lozenge
Route: Oral
Labeler: CVS Pharmacy
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 210711
Marketing start: May 29, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 69842-932_cd8872c7-4512-446a-9676-ec16c786e9fcSPL ID cd8872c7-4512-446a-9676-ec16c786e9fcSPL set ID 8986c712-6399-450e-8178-01fef29ebc52RxCUI 359817UNII 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

N469842093208 followed by a unit qualifier and the quantity

Package 69842-0932-08. 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 Dec 22, 2023.

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 210711

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

FDA NDC Directory listings under ANDA 210711
Product	Strength	Form · route	Labeler	Product NDC
Nicotinenicotine polacrilex	Nicotine 2 mg/1	LozengeOral	Walgreens	0363-9780
Nicotine Mininicotine polacrilex	Nicotine 4 mg/1	LozengeOral	Walgreens	0363-0979
Mini Nicotinenicotine polacrilex	Nicotine 4 mg/1	LozengeOral	CVS Pharmacy	69842-934
Nicotinenicotine polacrilex	Nicotine 2 mg/1	LozengeOral	HC Jones, Inc.	83253-978
Nicotine Mininicotine polacrilex	Nicotine 4 mg/1	LozengeOral	HC Jones, Inc.	83253-979
Nicotinenicotine polacrilex	Nicotine 2 mg/1	LozengeOral	Walgreens	0363-5760
Nicotine Mininicotine polacrilex	Nicotine 4 mg/1	LozengeOral	Walgreens	0363-5770
Nicotinenicotine polacrilex	Nicotine 2 mg/1	LozengeOral	P & L Development, LLC	59726-650
Nicotine Mininicotine polacrilex	Nicotine 4 mg/1	LozengeOral	P & L Development, LLC	59726-652