NDC codes

FDA NDC Directory
Product NDC (as listed)66715-8124Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66715-8124Add 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
66715-8124-066715812400667158124001 BLISTER PACK in 1 CARTON (66715-8124-0) / 10 GUM, CHEWING in 1 BLISTER PACKMarketed from May 6, 2022

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 — 4 mg/1
Dosage form
Gum, Chewing
Route
Buccal
Labeler
Lil' Drug Store Products, Inc.NDC labeler code 66715
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020066
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 66715-8124_0e85dcfa-d9e2-5fbb-e063-6394a90aeae6SPL ID 0e85dcfa-d9e2-5fbb-e063-6394a90aeae6SPL set ID 0e85dcfa-d9e1-5fbb-e063-6394a90aeae6RxCUI 105071, 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

N466715812400 followed by a unit qualifier and the quantity

Package 66715-8124-00. 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 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 66715-8124

What is NDC 66715-8124?
66715-8124 is the product NDC for Nicorette 4mg Fruit Chill Gum, Lil Drug Store, Nicotine 4 mg/1 gum, chewing, listed with the FDA by Lil' Drug Store Products, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicorette 4mg Fruit Chill Gum, Lil Drug Store (Nicotine polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
Lil' Drug Store Products, Inc., NDC labeler code 66715. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Nicorette 4mg Fruit Chill Gum, Lil Drug Store?
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 NDA 020066

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

FDA NDC Directory listings under NDA 020066
ProductStrengthForm · routeLabelerProduct NDC
Nicorette 4mg Cinnamon Surgenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store products, Inc.66715-8123
Nicorette 4mg White Ice Mint Gum, Lil Drug Storenicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalLil' Drug Store Products, Inc.66715-8125
Nicorette Cinnamon Surgenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0467
Nicorette Fruit Chillnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0242
Nicorette Fruit Chill nicotine polacrilexnicotineNicotine 4 mg/1Gum, ChewingOralLil' Drug Store Products, Inc.29485-5270
Nicorette Mintnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0230
Nicorette Originalnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0158
Nicorette Spearmint Burstnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0355
Nicorette Spearmint Burstnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0533
Nicorette White Ice Mintnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralHaleon US Holdings LLC0135-0475
Nicorette White Mint nicotine polacrilexnicotineNicotine 4 mg/1Gum, ChewingOralLil' Drug Store Products, Inc.29485-5271

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