Nicotine (nicotine polacrilex) NDC 0363-7269

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-7269Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-7269Add 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
0363-7269-06	00363726906	160 BLISTER PACK in 1 CARTON (0363-7269-06) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from May 28, 2019
0363-7269-60	00363726960	20 BLISTER PACK in 1 CARTON (0363-7269-60) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from May 28, 2019
0363-7269-78	00363726978	100 BLISTER PACK in 1 CARTON (0363-7269-78) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from May 24, 2019

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
Generic name (nonproprietary): nicotine polacrilex
Active ingredients: Nicotine — 2 mg/1
Dosage form: Gum, Chewing
Route: Oral
Labeler: Walgreen Company
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 206394
Marketing start: May 24, 2019
Listing expires: Dec 31, 2027
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 0363-7269_ebcf227f-597d-449c-9ae5-b505f04261e2SPL ID ebcf227f-597d-449c-9ae5-b505f04261e2SPL set ID 97fefc42-5c9d-453e-a0b6-dc7aac5ee8e1RxCUI 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

N400363726906 followed by a unit qualifier and the quantity

Package 00363-7269-06. 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 Mar 2, 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)

Other NDCs under ANDA 206394

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

FDA NDC Directory listings under ANDA 206394
Product	Strength	Form · route	Labeler	Product NDC
Topcare Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Topco Associates LLC	36800-460
up and up uncoated mint nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Target Corporation	82442-899
good sense nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	L. Perrigo Company	0113-8100
nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Kroger Company	30142-749
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Walgreen Company	0363-7050
nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Meijer, Inc.	79481-0755
Good Sense Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	L. Perrigo Company	0113-6020
Kirkland Signature Quit 2nicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Costco Wholesale Company	63981-012
good sense nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	A-S Medication Solutions	50090-7063
nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Rite Aid Corporation	11822-0269
careone nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	American Sales Company	41520-711
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Meijer Distribution Inc	41250-209
coated nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Publix Super Markets Inc	56062-110
Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Kroger Company	30142-208
basic care nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Amazon.com Services LLC	72288-811
Blipnicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Blip Products, Inc.	82966-269
Blipnicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Blip Products, Inc.	82966-012
Basic Care Nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Amazon.com Services LLC	72288-292
nictoine gumnicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Rite Aid Corporation	11822-0904
signature care nicotinenicotine polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Safeway	21130-186

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