NDC codes

FDA NDC Directory
Product NDC (as listed)87786-028Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87786-0028Add 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
87786-028-018778600280121 PATCH in 1 BOX (87786-028-01)Marketed from Jul 25, 2026

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)
DRAVYNOR QUIT SMOKING Patches
Generic name (nonproprietary)
nicotine18% menthol 0.3% quit smoking patches
Active ingredients
Nicotine — 18 g/1001Menthol — .3 g/1001
Dosage form
Patch
Route
Topical
Labeler
Wenzhou Yuyuan Pharmaceutical Co., Ltd.NDC labeler code 87786
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 87786-028_5768631f-d518-5b43-e063-6294a90a8f46SPL ID 5768631f-d518-5b43-e063-6294a90a8f46SPL set ID 5768631f-d517-5b43-e063-6294a90a8f46UNII 6M3C89ZY6R, L7T10EIP3A
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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N487786002801 followed by a unit qualifier and the quantity

Package 87786-0028-01. 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 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 87786-028

What is NDC 87786-028?
87786-028 is the product NDC for DRAVYNOR QUIT SMOKING Patches, Nicotine 18 g/1001; Menthol .3 g/1001 patch, listed with the FDA by Wenzhou Yuyuan Pharmaceutical Co., Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
DRAVYNOR QUIT SMOKING Patches (Nicotine18% Menthol 0.3% QUIT SMOKING Patches).
What is the active ingredient?
Nicotine, Menthol.
Who is the labeler?
Wenzhou Yuyuan Pharmaceutical Co., Ltd., NDC labeler code 87786. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for DRAVYNOR QUIT SMOKING Patches?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 017

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

FDA NDC Directory listings under M 017
ProductStrengthForm · routeLabelerProduct NDC
0.5% Lidocaine Burn Relieflidocaine hydrochlorideLidocaine hydrochloride .5 g/100gGelTopicalNantong Health & Beyond Hygienic Products Inc.43473-099
0.5% Lidocaine Burn Relieflidocaine hydrochlorideLidocaine hydrochloride .5 g/100gGelTopicalUniversal Distribution Center LLC52000-437
1% Hydrocortisone Anti-itchHydrocortisone 10 mg/gCreamTopicalALAINA HEALTHCARE PRIVATE LIMITED73492-291
10% Methyl Salicylate Pain Relief Patch10% methyl salicylateMethyl salicylate 10 mg/100mgTapeTopicalAkron Coating & Adhesives65604-222
11681168 burn sprayLidocaine hydrochloride .02 mg/mLSprayTopicalDynarex Corporation67777-013
2.0% Lidocaine Burnlidocaine hydrochlorideLidocaine hydrochloride 2 g/100mLSprayTopicalNantong Health & Beyond Hygienic Products Inc.43473-097
2.0% Lidocaine Burnlidocaine hydrochlorideLidocaine hydrochloride 2 g/100mLSprayTopicalUniversal Distribution Center LLC52000-441
2.5% Menthol PAIN RELIEFmentholMenthol, Unspecified form 25 mg/gGelTopicalNantong Health & Beyond Hygienic Products Inc.43473-096
2.5% Menthol PAIN RELIEFmentholMenthol, Unspecified form 25 mg/gGelTopicalUniversal Distribution Center LLC52000-440
24 7 Relief and Recovery Pain Relievingmenthol, unspecified formMenthol, Unspecified form 37 mg/mLCreamTopicalTriplicare Inc87656-964
2677 First Aid Burn CreamBenzalkonium chloride 13 mg/10000mg; Lidocaine hydrochloride 50 mg/10000mgCreamTopicalProStat First Aid LLC58228-2677
2nd CHANCE MOBILITY Pain Reliefhistamine dihydrochlorideHistamine dihydrochloride .5 mg/gCreamTopicalALPHA NUTRITION, LLC83984-441
365 Medicated Lip Balmmedicated lip balmCamphor (Natural) .0578 g/4.25gStickTopicalWhole Foods Market, Inc.42681-0001
3X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-0613
4 Lidocaine Topical AnestheticlidocaineLidocaine 40 mg/gCreamTopicalRUGBY LABORATORIES0536-1267
4% Lidocaine Maximum Strength Pain RelieflidocaineLidocaine .04 g/1PatchTopicalShenzhen Finona Information Technology Co., Ltd85839-011
4% Lidocaine Pain Relief Patchlidocaine 4%Lidocaine .04 g/1PatchTransdermalGuangxi Keyun E-commerce Co., Ltd.87278-003
4% Lidocaine Pain Relief Patchlidocaine 4%Lidocaine .04 g/1PatchTransdermalGuangxi Keyun E-commerce Co., Ltd.87278-020
4% Lidocaine Patches4% lidocaineLidocaine 40 mg/1PatchTopicalShenzhen Huayuan Hengsheng Technology Co., Ltd.87394-002
4% Lidocaine PatchesLidocaine 4 g/1001PatchTopicalShenzhen Chaoxiji Technology Co.,Ltd.87794-006

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