NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9570Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9570Add 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
0363-9570-0800363957008003639570084 BOTTLE, PLASTIC in 1 BOX (0363-9570-08) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Oct 30, 2020
0363-9570-2400363957024003639570241 BOTTLE, PLASTIC in 1 BOX (0363-9570-24) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Oct 30, 2020
0363-9570-2700363957027003639570271 BOTTLE, PLASTIC in 1 BOX (0363-9570-27) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Oct 30, 2020
0363-9570-4400363957044003639570446 BOTTLE, PLASTIC in 1 BOX (0363-9570-44) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Oct 30, 2020
0363-9570-7200363957072003639570723 BOTTLE, PLASTIC in 1 BOX (0363-9570-72) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed 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
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 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 209206
Marketing start
Marketing end
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 0363-9570_8f56045b-2d20-45d3-8de6-43914c51d266SPL ID 8f56045b-2d20-45d3-8de6-43914c51d266SPL set ID 25dc2032-4e6a-440a-8327-7b6c877a2430RxCUI 359817UNII 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

N400363957008 followed by a unit qualifier and the quantity

Package 00363-9570-08. 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 0363-9570

What is NDC 0363-9570?
0363-9570 is the product NDC for Nicotine (nicotine polacrilex), Nicotine 2 mg/1 lozenge, listed with the FDA by Walgreens. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine (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?
197 other product NDCs are listed under this name. See all Nicotine 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 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmazon.com Services LLC72288-68472288-0684-02
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-73072288-0730-60
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-75572288-0755-06
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-86372288-0863-06
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralSafeway21130-77221130-0772-02
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmazon.com Services LLC72288-96972288-0969-76
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-86972288-0869-76
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCardinal Health 107, LLC55154-681855154-6818-00
nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmazon.com Services LLC72288-65172288-0651-14
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreen Company0363-251100363-2511-27

All 198 Nicotine NDCs

Other NDCs under ANDA 209206

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

FDA NDC Directory listings under ANDA 209206
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-9580
Nicotine Sugar Freenicotine polacrilexNicotine 4 mg/1LozengeOralCVS Pharmacy69842-858
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralCardinal Health (Leader) 7000070000-0561
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-0562
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralRugby Laboratories, Inc.0536-1337
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRugby Laboratories, Inc.0536-1338
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-957
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRite Aid Corporation11822-3317
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-734
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-732

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in