What is NDC 0363-3290?

0363-3290 is the product NDC for Nicotine Polacrilex, Nicotine 4 mg/1 gum, chewing, listed with the FDA by Walgreens. It has 1 package NDC, shown above in 10- and 11-digit form.

Walgreens, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Nicotine Polacrilex?

48 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Nicotine Polacrilex NDC 0363-3290 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-3290Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-3290Add 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 NDC	11-digit (billing)	Package	Copy
0363-3290-10	0036332901000363329010	100 BLISTER PACK in 1 CARTON (0363-3290-10) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Oct 30, 2020

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): Nicotine Polacrilex
Generic name (nonproprietary): nicotine polacrilex
Active ingredients: Nicotine — 4 mg/1
Dosage form: Gum, Chewing
Route: Oral
Labeler: WalgreensNDC labeler code 0363
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 204833
Marketing start: Oct 30, 2020
Marketing end: Feb 5, 2027
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 0363-3290_2cd7b668-4c0b-4511-b3db-f83f333c9799SPL ID 2cd7b668-4c0b-4511-b3db-f83f333c9799SPL set ID 5741531a-3886-4b0a-ae92-d7c238488fdfRxCUI 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

N400363329010 followed by a unit qualifier and the quantity

Package 00363-3290-10. 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 Feb 4, 2026.

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 0363-3290

What is NDC 0363-3290?: 0363-3290 is the product NDC for Nicotine Polacrilex, Nicotine 4 mg/1 gum, chewing, listed with the FDA by Walgreens. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Nicotine Polacrilex.
What is the active ingredient?: Nicotine.
Who is the labeler?: Walgreens, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nicotine Polacrilex?: 48 other product NDCs are listed under this name. See all Nicotine Polacrilex 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 Nicotine Polacrilex NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-927	72224-0927-10
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-924	72224-0924-10
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-925	72224-0925-10
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-933	72224-0933-10
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-976	55910-0976-20
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Quitine LLC	84720-927	84720-0927-03
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Quitine LLC	84720-933	84720-0933-03
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-796	55910-0796-20
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-933	55910-0933-10
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	A-S Medication Solutions	50090-8146	50090-8146-00

All 49 Nicotine Polacrilex NDCs

Other NDCs under ANDA 204833

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

FDA NDC Directory listings under ANDA 204833
Product	Strength	Form · route	Labeler	Product NDC
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Family Dollar (FAMILY WELLNESS)	55319-966
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-933
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	Chain Drug Consortium, LLC	68016-293
Nicotine Polacrilex coated ice mintnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	AmerisourceBergen (Good Neighbor Pharmacy) 46122	46122-449
Nicotine Polacrilex coated ice mintnicotine polacrilex gum	Nicotine 4 mg/1	Gum, ChewingBuccal	CVS Pharmacy	69842-217
Nicotine Polacrilex Coated Ice Mintnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	CARDINAL HEALTH 110, LLC. DBA LEADER 70000	70000-0344