What is NDC 17856-3030?

17856-3030 is the product NDC for Rugby Nicotine Polacrilex Gum, Original Flavor, Nicotine 4 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, Original Flavor (Nicotine Polacrilex).

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, Original Flavor?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

NDC 17856-3030

NDC codes

FDA NDC Directory

Product NDC (as listed)17856-3030Labeler and product segments. Claims need a package NDC.

Product NDC at billing width17856-3030Add 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
17856-3030-1	1785630300117856303001	50 POUCH in 1 CASE (17856-3030-1) / 1 GUM, CHEWING in 1 POUCH (17856-3030-2)Marketed from Apr 17, 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

Brand name (proprietary): Rugby Nicotine Polacrilex Gum, Original Flavor
Generic name (nonproprietary): nicotine polacrilex
Active ingredients: Nicotine — 4 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 074707
Marketing start: Jun 5, 2018
Listing expires: Dec 31, 2026
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 17856-3030_3892fb10-9ea9-9058-e063-6294a90a26b8SPL ID 3892fb10-9ea9-9058-e063-6294a90a26b8SPL set ID 57e08517-4c8a-487a-bfbe-2a43f105f4b9RxCUI 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. Buccal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N417856303001 followed by a unit qualifier and the quantity

Package 17856-3030-01. 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 Jun 27, 2025.

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 17856-3030

What is NDC 17856-3030?: 17856-3030 is the product NDC for Rugby Nicotine Polacrilex Gum, Original Flavor, Nicotine 4 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, Original 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, Original Flavor?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under ANDA 074707

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

FDA NDC Directory listings under ANDA 074707
Product	Strength	Form · route	Labeler	Product NDC
Nicotinenicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Walgreens	0363-9350
Nicotinenicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	Rugby Laboratories	0536-3030
Nicotinenicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	The Kroger Co.	30142-671
Nicotinenicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	AmerisourceBergen (Good Neighbor Pharmacy) 46122	46122-733
Nicotinenicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	P & L Development, LLC	59726-935
Nicotine Polacrilex Origianl Flavornicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	Publix Supermarkets, Inc.	56062-609
Nicotine Polacrilex originalnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	Walgreens	0363-1609
Nicotine Polacrilex originalnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	CVS Pharmacy	69842-609
Nicotine Polacrilex Originalnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	CARDINAL HEALTH 110, LLC. DBA LEADER 70000	70000-0341
Nicotine Polacrilex, Originalnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	Chain Drug Consortium, LLC	68016-287

Rugby Nicotine Polacrilex Gum, Original Flavor (Nicotine polacrilex) NDC 17856-3030