Over-the-counter drug · ANDA
euqate nicotine (nicotine polacrilex) NDC 79903-101
Nicotine 2 mg/1 · Lozenge · Oral · WALMART INC.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-101-20 | 79903010120 | 1 CONTAINER in 1 CARTON (79903-101-20) / 20 LOZENGE in 1 CONTAINERMarketed from Jan 11, 2022 | |
| 79903-101-40 | 79903010140 | 40 LOZENGE in 1 CONTAINER (79903-101-40)Marketed from Nov 15, 2023 | |
| 79903-101-80 | 79903010180 | 2 CONTAINER in 1 CARTON (79903-101-80) / 40 LOZENGE in 1 CONTAINERMarketed from Jan 11, 2022 |
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)
- euqate nicotine
- Generic name (nonproprietary)
- nicotine polacrilex
- Active ingredients
- Nicotine — 2 mg/1
- Dosage form
- Lozenge
- Route
- Oral
- Labeler
- WALMART INC.
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 077007
- Marketing start
- Listing expires
- Other FDA classes
- Nicotine (Chemical structure)
- Identifiers
- Product ID 79903-101_012bcc52-fb21-4b53-9bed-aa144d6d9ee3SPL ID 012bcc52-fb21-4b53-9bed-aa144d6d9ee3SPL set ID c1764aad-1da4-4e4e-b6b0-5a3df1edda85RxCUI 359817UNII 6M3C89ZY6RUPC 0012345678905
- 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
N479903010120followed by a unit qualifier and the quantityPackage 79903-0101-20. 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.
Other NDCs under ANDA 077007
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | HyVee Inc | 42507-344 |
| nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Walgreen Company | 0363-7044 |
| nicotine polacrilexnicotine | Nicotine 4 mg/1 | LozengeOral | H E B | 37808-948 |
| Good Sense Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | L. Perrigo Company | 0113-2502 |
| nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Sixarp, LLC | 59368-463 |
| nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Amazon.com Services LLC | 72288-651 |
| good sense nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | A-S Medication Solutions | 50090-7060 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-787 |
| Good Sense Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | A-S Medication Solutions | 50090-7061 |
| careone nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | American Sales Company | 41520-701 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | HyVee Inc | 42507-690 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS Pharmacy | 59779-344 |
| kirkland signature quit 2nicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Costco Wholesale Company | 63981-344 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Rite Aid Corporation | 11822-0344 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Safeway | 21130-636 |
| exchange select nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Army & Air Force Exchange Service | 55301-873 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Kroger Company | 30142-873 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | H E B | 59640-099 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-319 |
| kirkland signature quit 4nicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Costco Wholesale Company | 63981-873 |
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