NDC codes

FDA NDC Directory
Product NDC (as listed)69842-964Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0964Add 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
69842-964-08698420964084 BOTTLE, PLASTIC in 1 BOX (69842-964-08) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Jun 30, 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 Mini
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Lozenge
Route
Oral
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 212057
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 69842-964_9193c7a3-ad5b-41bf-b90e-33c736e4b312SPL ID 9193c7a3-ad5b-41bf-b90e-33c736e4b312SPL set ID 4853ee32-521f-4359-8084-438893be43bcRxCUI 359818UNII 6M3C89ZY6RUPC 0050428371466
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

N469842096408 followed by a unit qualifier and the quantity

Package 69842-0964-08. 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 .

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 69842-964

What is NDC 69842-964?
69842-964 is the product NDC for Nicotine Mini (nicotine polacrilex), Nicotine 4 mg/1 lozenge, 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 Mini (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 Mini?
32 other product NDCs are listed under this name. See all Nicotine Mini 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 Mini NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-73972288-0739-14
nicotine mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-79772288-0797-14
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-37572288-0375-0172288-0375-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-56972288-0569-0172288-0569-0472288-0569-07
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralP & L Development, LLC59726-65259726-0652-0459726-0652-27
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralHC Jones, Inc.83253-97983253-0979-1883253-0979-2783253-0979-72+1 more
nicotine mininicotine polacrilexNicotine 4 mg/1LozengeOralWalgreen Company0363-601100363-6011-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralWalgreen Company0363-705100363-7051-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralRising Pharma Holdings, Inc.57237-32057237-0320-4257237-0320-7257237-0320-81
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralRising Pharma Holdings, Inc.57237-32157237-0321-4257237-0321-7257237-0321-81

All 33 Nicotine Mini NDCs

Other NDCs under ANDA 212057

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

FDA NDC Directory listings under ANDA 212057
ProductStrengthForm · routeLabelerProduct NDC
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-976

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