Over-the-counter drug · NDA
Nicorette 4mg White Ice Mint Gum, Lil Drug Store (Nicotine polacrilex) NDC 66715-8125
Nicotine 4 mg/1 · Gum, Chewing · Buccal · Lil' Drug Store Products, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 66715-8125-0 | 6671581250066715812500 | 1 BLISTER PACK in 1 CARTON (66715-8125-0) / 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
- Brand name (proprietary)
- Nicorette 4mg White Ice Mint Gum, Lil Drug Store
- 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 66715-8125_0e894f4f-2d42-24c2-e063-6294a90ae26cSPL ID 0e894f4f-2d42-24c2-e063-6294a90ae26cSPL set ID 0e894f4f-2d41-24c2-e063-6294a90ae26cRxCUI 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
N466715812500followed by a unit qualifier and the quantityPackage 66715-8125-00. 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.
About NDC 66715-8125
- What is NDC 66715-8125?
- 66715-8125 is the product NDC for Nicorette 4mg White Ice Mint 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 White Ice Mint 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 White Ice Mint 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.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Nicorette 4mg Cinnamon Surgenicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingBuccal | Lil' Drug Store products, Inc. | 66715-8123 |
| Nicorette 4mg Fruit Chill Gum, Lil Drug Storenicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingBuccal | Lil' Drug Store Products, Inc. | 66715-8124 |
| Nicorette Cinnamon Surgenicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0467 |
| Nicorette Fruit Chillnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0242 |
| Nicorette Fruit Chill nicotine polacrilexnicotine | Nicotine 4 mg/1 | Gum, ChewingOral | Lil' Drug Store Products, Inc. | 29485-5270 |
| Nicorette Mintnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0230 |
| Nicorette Originalnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0158 |
| Nicorette Spearmint Burstnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0355 |
| Nicorette Spearmint Burstnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0533 |
| Nicorette White Ice Mintnicotine polacrilex | Nicotine 4 mg/1 | Gum, ChewingOral | Haleon US Holdings LLC | 0135-0475 |
| Nicorette White Mint nicotine polacrilexnicotine | Nicotine 4 mg/1 | Gum, ChewingOral | Lil' Drug Store Products, Inc. | 29485-5271 |