NDC codes

FDA NDC Directory
Product NDC (as listed)17856-1362Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17856-1362Add 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
17856-1362-1178561362011785613620150 POUCH in 1 CASE (17856-1362-1) / 1 GUM, CHEWING in 1 POUCHMarketed from Apr 15, 2024

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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

Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Buccal
Labeler
ATLANTIC BIOLOGICALS CORP.NDC labeler code 17856
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 076569
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 17856-1362_3892fd7a-967c-1a02-e063-6394a90a160cSPL ID 3892fd7a-967c-1a02-e063-6394a90a160cSPL set ID 62609a8d-bcbe-420c-aed8-edfdf022ff26RxCUI 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. Buccal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N417856136201 followed by a unit qualifier and the quantity

Package 17856-1362-01. 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 17856-1362

What is NDC 17856-1362?
17856-1362 is the product NDC for Rugby Nicotine Polacrilex Gum, Mint Flavor, Nicotine 2 mg/1 gum, chewing, listed with the FDA by ATLANTIC BIOLOGICALS CORP.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Rugby Nicotine Polacrilex Gum, Mint Flavor (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
ATLANTIC BIOLOGICALS CORP., NDC labeler code 17856. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Rugby Nicotine Polacrilex Gum, Mint Flavor?
1 other product NDC are listed under this name. See all Rugby Nicotine Polacrilex Gum, Mint Flavor 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 Rugby Nicotine Polacrilex Gum, Mint Flavor NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Rugby Nicotine Polacrilex Gum, Mint Flavornicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalA-S Medication Solutions50090-356050090-3560-00

Other NDCs under ANDA 076569

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

FDA NDC Directory listings under ANDA 076569
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalRugby Laboratories0536-1362
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-724
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCardinal Health 107, LLC55154-6818
Nicotine Polacrilex MINTnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalWalgreens0363-1420
Rugby Nicotine Polacrilex Gum, Mint Flavornicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalA-S Medication Solutions50090-3560

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