NDC codes

FDA NDC Directory
Product NDC (as listed)46122-717Labeler and product segments. Claims need a package NDC.
Product NDC at billing width46122-0717Add 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
46122-717-60461220717604612207176020 BLISTER PACK in 1 CARTON (46122-717-60) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Sep 30, 2022

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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 Polacrilex
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078699
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 46122-717_f8c2ba04-d812-4c06-939e-678c3f110193SPL ID f8c2ba04-d812-4c06-939e-678c3f110193SPL set ID 7b789f4c-7786-4b32-9460-69de57e0a3aaRxCUI 314119UNII 6M3C89ZY6RUPC 0346122717601
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

N446122071760 followed by a unit qualifier and the quantity

Package 46122-0717-60. 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 46122-717

What is NDC 46122-717?
46122-717 is the product NDC for Nicotine Polacrilex, Nicotine 2 mg/1 gum, chewing, listed with the FDA by AmerisourceBergen (Good Neighbor Pharmacy) 46122. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine Polacrilex.
What is the active ingredient?
Nicotine.
Who is the labeler?
AmerisourceBergen (Good Neighbor Pharmacy) 46122, NDC labeler code 46122. 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 Polacrilex?
48 other product NDCs are listed under this name. See all Nicotine Polacrilex 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 Polacrilex NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralLucy Goods, Inc.72224-92772224-0927-10
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralLucy Goods, Inc.72224-92472224-0924-10
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralLucy Goods, Inc.72224-92572224-0925-10
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingOralLucy Goods, Inc.72224-93372224-0933-10
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-97655910-0976-20
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralQuitine LLC84720-92784720-0927-03
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingOralQuitine LLC84720-93384720-0933-03
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-79655910-0796-20
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-93355910-0933-10
Nicotine PolacrilexNicotine 4 mg/1Gum, ChewingOralA-S Medication Solutions50090-814650090-8146-00

All 49 Nicotine Polacrilex NDCs

Other NDCs under ANDA 078699

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

FDA NDC Directory listings under ANDA 078699
ProductStrengthForm · routeLabelerProduct NDC
Habitrol Nicotine Polacrilex Gum 2 mg Coated Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalDr. Reddy's Laboratories Inc.75907-302
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalRugby Laboratories0536-3112
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralWalgreens0363-9270
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingBuccalAAFES/Your Military Exchanges55301-428
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralRising Pharma Holdings, Inc.57237-322
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralLucy Goods, Inc.72224-927
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralQuitine LLC84720-927
Nicotine Polacrilex Coated Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalPublix Supermarkets, Inc.56062-428
Nicotine Polacrilex Coated Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalChain Drug Consortium, LLC68016-280
Nicotine Polacrilex Coated Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalChain Drug Consortium, LLC68016-284
Nicotine Polacrilex Coated Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalChain Drug Consortium, LLC68016-559
Nicotine Polacrilex coated mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCVS Pharmacy69842-428
Nicotine Polacrilex Coated Mintnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-0347

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