NDC codes

FDA NDC Directory
Product NDC (as listed)69842-024Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0024Add 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
69842-024-15698420024156984200241520 BLISTER PACK in 1 CARTON (69842-024-15) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Jan 1, 2014
69842-024-166984200241669842002416160 BLISTER PACK in 1 CARTON (69842-024-16) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Jan 1, 2014
69842-024-446984200244469842002444100 BLISTER PACK in 1 CARTON (69842-024-44) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Jan 1, 2014
69842-024-79698420024796984200247910 BLISTER PACK in 1 CARTON (69842-024-79) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Jan 1, 2014

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 coated fruitSuffix: coated fruit
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 2 mg/1
Dosage form
Gum, Chewing
Route
Buccal
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079044
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 69842-024_100ca279-eb96-4ad3-b1f4-ff7037b7306dSPL ID 100ca279-eb96-4ad3-b1f4-ff7037b7306dSPL set ID 8c5e99d7-9d2d-488b-a804-496edafd30cfRxCUI 311975, 314119UNII 6M3C89ZY6RUPC 0050428326275
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

N469842002415 followed by a unit qualifier and the quantity

Package 69842-0024-15. 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 69842-024

What is NDC 69842-024?
69842-024 is the product NDC for Nicotine Polacrilex coated fruit (nicotine polacrilex), Nicotine 2 mg/1 gum, chewing, listed with the FDA by CVS Pharmacy. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Nicotine Polacrilex coated fruit (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
CVS Pharmacy, NDC labeler code 69842. 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 coated fruit?
5 other product NDCs are listed under this name. See all Nicotine Polacrilex coated fruit 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 coated fruit NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-034270000-0342-01
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-034670000-0346-01
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalPublix Supermarkets, Inc.56062-50356062-0503-44
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalPublix Supermarkets, Inc.56062-50456062-0504-44
Nicotine Polacrilex coated fruitnicotine polacrilexNicotine 4 mg/1Gum, ChewingBuccalCVS Pharmacy69842-02569842-0025-1569842-0025-1669842-0025-44+1 more

Other NDCs under ANDA 079044

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

FDA NDC Directory listings under ANDA 079044
ProductStrengthForm · routeLabelerProduct NDC
Habitrol Nicotine Polacrilex Gum 2 mg Coated Fruitnicotine polacrilexNicotine 2 mg/1Gum, ChewingOralDr. Reddy's Laboratories Inc.75907-301
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalWalgreens0363-9250
Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalP & L Development, LLC59726-592
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingBuccalAAFES/Your Military Exchanges55301-503
Nicotine PolacrilexNicotine 2 mg/1Gum, ChewingOralLucy Goods, Inc.72224-925
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalPublix Supermarkets, Inc.56062-503
Nicotine Polacrilex Coated Fruitnicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-0346
Rugby Nicotine Polacrilex Gum, Coated Fruit Flavornicotine polacrilexNicotine 2 mg/1Gum, ChewingBuccalRugby Laboratories0536-3386

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in