What is NDC 55910-933?

55910-933 is the product NDC for Nicotine Polacrilex, Nicotine 4 mg/1 gum, chewing, listed with the FDA by Dolgencorp, Inc. (DOLLAR GENERAL & REXALL). It has 1 package NDC, shown above in 10- and 11-digit form.

Dolgencorp, Inc. (DOLLAR GENERAL & REXALL), NDC labeler code 55910. 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.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Nicotine Polacrilex NDC 55910-933 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)55910-933Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55910-0933Add 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
55910-933-10	5591009331055910093310	10 BLISTER PACK in 1 CARTON (55910-933-10) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Oct 25, 2023

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 — 4 mg/1
Dosage form: Gum, Chewing
Route: Oral
Labeler: Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)NDC labeler code 55910
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 204833
Marketing start: Oct 25, 2023
Marketing end: Apr 30, 2027
Other FDA classes: Nicotine (Chemical structure)
Identifiers: Product ID 55910-933_8f863747-ff6c-484b-85ce-523d890471b0SPL ID 8f863747-ff6c-484b-85ce-523d890471b0SPL set ID ee883114-35ac-4b81-b8f1-4903d646dd84RxCUI 311975UNII 6M3C89ZY6RUPC 0359726932103
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

N455910093310 followed by a unit qualifier and the quantity

Package 55910-0933-10. 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 Feb 11, 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)

About NDC 55910-933

What is NDC 55910-933?: 55910-933 is the product NDC for Nicotine Polacrilex, Nicotine 4 mg/1 gum, chewing, listed with the FDA by Dolgencorp, Inc. (DOLLAR GENERAL & REXALL). 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?: Dolgencorp, Inc. (DOLLAR GENERAL & REXALL), NDC labeler code 55910. 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
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-927	72224-0927-10
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-924	72224-0924-10
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-925	72224-0925-10
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Lucy Goods, Inc.	72224-933	72224-0933-10
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-976	55910-0976-20
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Quitine LLC	84720-927	84720-0927-03
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Quitine LLC	84720-933	84720-0933-03
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Dolgencorp, Inc. (DOLLAR GENERAL & REXALL)	55910-796	55910-0796-20
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	A-S Medication Solutions	50090-8146	50090-8146-00
Nicotine Polacrilex	Nicotine 2 mg/1	Gum, ChewingOral	Rising Pharma Holdings, Inc.	57237-322	57237-0322-0157237-0322-1157237-0322-50

All 49 Nicotine Polacrilex NDCs

Other NDCs under ANDA 204833

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

FDA NDC Directory listings under ANDA 204833
Product	Strength	Form · route	Labeler	Product NDC
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Walgreens	0363-3290
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingOral	Family Dollar (FAMILY WELLNESS)	55319-966
Nicotine Polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	Chain Drug Consortium, LLC	68016-293
Nicotine Polacrilex coated ice mintnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	AmerisourceBergen (Good Neighbor Pharmacy) 46122	46122-449
Nicotine Polacrilex coated ice mintnicotine polacrilex gum	Nicotine 4 mg/1	Gum, ChewingBuccal	CVS Pharmacy	69842-217
Nicotine Polacrilex Coated Ice Mintnicotine polacrilex	Nicotine 4 mg/1	Gum, ChewingBuccal	CARDINAL HEALTH 110, LLC. DBA LEADER 70000	70000-0344