NDC codes

FDA NDC Directory
Product NDC (as listed)0135-0474Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00135-0474Add 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
0135-0474-0100135047401001350474011 BLISTER PACK in 1 CARTON (0135-0474-01) / 20 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0474-0200135047402001350474021 BLISTER PACK in 1 CARTON (0135-0474-02) / 100 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0474-0500135047405001350474051 BLISTER PACK in 1 CARTON (0135-0474-05) / 160 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0474-08001350474080013504740820 GUM, CHEWING in 1 CARTON (0135-0474-08)Marketed from Jun 29, 2009
0135-0474-1700135047417001350474171 BLISTER PACK in 1 CARTON (0135-0474-17) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0474-1800135047418001350474182 CARTON in 1 PACKAGE (0135-0474-18) / 10 BLISTER PACK in 1 CARTON / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Aug 1, 2014
0135-0474-19001350474190013504741912 BLISTER PACK in 1 CARTON (0135-0474-19) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Sep 1, 2018
0135-0474-20001350474200013504742018 BLISTER PACK in 1 CARTON (0135-0474-20) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Dec 3, 2018

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Nicorette White Ice MintSuffix: White Ice Mint
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Oral
Labeler
Haleon US Holdings LLCNDC labeler code 0135
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018612
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0135-0474_1f929250-cbfa-d6eb-e063-6394a90a7281SPL ID 1f929250-cbfa-d6eb-e063-6394a90a7281SPL set ID 673fd19f-69b3-4f73-b9b4-18b5f4cbf69cRxCUI 105071, 209326, 311975, 314119UNII 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

N400135047401 followed by a unit qualifier and the quantity

Package 00135-0474-01. 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 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 0135-0474

What is NDC 0135-0474?
0135-0474 is the product NDC for Nicorette White Ice Mint (nicotine polacrilex), Nicotine 2 mg/1 gum, chewing, listed with the FDA by Haleon US Holdings LLC. It has 8 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicorette White Ice Mint (Nicotine polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
Haleon US Holdings LLC, NDC labeler code 0135. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nicorette White Ice Mint?
1 other product NDC are listed under this name. See all Nicorette White Ice Mint 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 Nicorette White Ice Mint NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicorette White Ice Mintnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-047500135-0475-0100135-0475-0200135-0475-05+5 more

Other NDCs under NDA 018612

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

FDA NDC Directory listings under NDA 018612
ProductStrengthForm · routeLabelerProduct NDC
Nicorette Cinnamon Surgenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0466
Nicorette Fruit Chillnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0241
Nicorette Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0229
Nicorette Originalnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0157
Nicorette Spearmint Burstnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0532

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