NDC codes

FDA NDC Directory
Product NDC (as listed)0363-5770Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-5770Add 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
0363-5770-2000363577020003635770201 BOTTLE, PLASTIC in 1 BOX (0363-5770-20) / 20 LOZENGE in 1 BOTTLE, PLASTICMarketed from Aug 20, 2021

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 MiniSuffix: Mini
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Lozenge
Route
Oral
Labeler
WalgreensNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210711
Marketing start
Marketing end
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0363-5770_faf865a9-e0b1-49ce-8e5b-2fc8ad581b72SPL ID faf865a9-e0b1-49ce-8e5b-2fc8ad581b72SPL set ID 06455f66-da8e-4be5-9069-6840f93d6d77RxCUI 359818UNII 6M3C89ZY6RUPC 0311917032528
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

N400363577020 followed by a unit qualifier and the quantity

Package 00363-5770-20. 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.

Full label on DailyMed (opens in a new tab)

About NDC 0363-5770

What is NDC 0363-5770?
0363-5770 is the product NDC for Nicotine Mini (nicotine polacrilex), Nicotine 4 mg/1 lozenge, 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 Mini (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 Mini?
34 other product NDCs are listed under this name. See all Nicotine Mini 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 Mini NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
nicotine mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-78972288-0789-07
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-73972288-0739-14
nicotine mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-79772288-0797-14
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-37572288-0375-0172288-0375-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-56972288-0569-0172288-0569-0472288-0569-07
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralP & L Development, LLC59726-65259726-0652-0459726-0652-27
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralHC Jones, Inc.83253-97983253-0979-1883253-0979-2783253-0979-72+1 more
nicotine mininicotine polacrilexNicotine 4 mg/1LozengeOralWalgreen Company0363-601100363-6011-07
Nicotine Mininicotine polacrilexNicotine 2 mg/1LozengeOralWalgreen Company0363-705100363-7051-07
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralA-S Medication Solutions50090-815150090-8151-00

All 35 Nicotine Mini NDCs

Other NDCs under ANDA 210711

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

FDA NDC Directory listings under ANDA 210711
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-9780
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralP & L Development, LLC59726-650
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralP & L Development, LLC59726-652
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralHC Jones, Inc.83253-978
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralHC Jones, Inc.83253-979
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-0979
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-5760
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-932
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralCVS Pharmacy69842-934

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