NDC codes

FDA NDC Directory
Product NDC (as listed)0135-0475Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00135-0475Add 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
0135-0475-0100135047501001350475011 BLISTER PACK in 1 CARTON (0135-0475-01) / 20 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0475-0200135047502001350475021 BLISTER PACK in 1 CARTON (0135-0475-02) / 100 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0475-0500135047505001350475051 BLISTER PACK in 1 CARTON (0135-0475-05) / 160 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0475-08001350475080013504750820 GUM, CHEWING in 1 CARTON (0135-0475-08)Marketed from Jun 29, 2009
0135-0475-1700135047517001350475171 BLISTER PACK in 1 CARTON (0135-0475-17) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Jun 29, 2009
0135-0475-1800135047518001350475182 CARTON in 1 PACKAGE (0135-0475-18) / 10 BLISTER PACK in 1 CARTON / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Aug 1, 2014
0135-0475-19001350475190013504751912 BLISTER PACK in 1 CARTON (0135-0475-19) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from Sep 1, 2018
0135-0475-20001350475200013504752018 BLISTER PACK in 1 CARTON (0135-0475-20) / 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 — 4 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 020066
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0135-0475_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

N400135047501 followed by a unit qualifier and the quantity

Package 00135-0475-01. 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 0135-0475

What is NDC 0135-0475?
0135-0475 is the product NDC for Nicorette White Ice Mint (nicotine polacrilex), Nicotine 4 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 2 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-047400135-0474-0100135-0474-0200135-0474-05+5 more

Other NDCs under NDA 020066

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

FDA NDC Directory listings under NDA 020066
ProductStrengthForm · routeLabelerProduct NDC
Nicorette 4mg Cinnamon Surgenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store products, Inc.66715-8123
Nicorette 4mg Fruit Chill Gum, Lil Drug Storenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store Products, Inc.66715-8124
Nicorette 4mg White Ice Mint Gum, Lil Drug Storenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store Products, Inc.66715-8125
Nicorette Cinnamon Surgenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0467
Nicorette Fruit Chillnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0242
Nicorette Fruit Chill nicotine polacrilexnicotineNicotine 4 mg/1Gum, ChewingOralLil' Drug Store Products, Inc.29485-5270
Nicorette Mintnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0230
Nicorette Originalnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0158
Nicorette Spearmint Burstnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0355
Nicorette Spearmint Burstnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0533
Nicorette White Mint nicotine polacrilexnicotineNicotine 4 mg/1Gum, ChewingOralLil' Drug Store Products, Inc.29485-5271

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