NDC codes

FDA NDC Directory
Product NDC (as listed)72288-442Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72288-0442Add 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
72288-442-0672288044206160 BLISTER PACK in 1 CARTON (72288-442-06) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Feb 26, 2021
72288-442-607228804426020 BLISTER PACK in 1 CARTON (72288-442-60) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Dec 10, 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)
basic care nicotine
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091354
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 72288-442_dab692e3-bf0a-42df-b982-f0a3d8cd4cf4SPL ID dab692e3-bf0a-42df-b982-f0a3d8cd4cf4SPL set ID aff57914-5af5-46b6-8f80-9db518750843RxCUI 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

N472288044206 followed by a unit qualifier and the quantity

Package 72288-0442-06. 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)

Other NDCs under ANDA 091354

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

FDA NDC Directory listings under ANDA 091354
ProductStrengthForm · routeLabelerProduct NDC
equate Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWal-Mart Stores Inc49035-442

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