Over-the-counter drug · ANDA
Nicotine Sugar Free (Nicotine polacrilex) NDC 69842-662
Nicotine 2 mg/1 · Lozenge · Oral · CVS Pharmacy
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69842-662Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0662Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-662-10 | 6984206621069842066210 | 1 BOTTLE, PLASTIC in 1 BOX (69842-662-10) / 10 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020 | |
| 69842-662-20 | 6984206622069842066220 | 1 BOTTLE, PLASTIC in 1 BOX (69842-662-20) / 20 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020 | |
| 69842-662-27 | 6984206622769842066227 | 1 BOTTLE, PLASTIC in 1 BOX (69842-662-27) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020 | |
| 69842-662-35 | 6984206623569842066235 | 5 BOTTLE, PLASTIC in 1 BOX (69842-662-35) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020 | |
| 69842-662-81 | 6984206628169842066281 | 3 BOTTLE, PLASTIC in 1 BOX (69842-662-81) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020 |
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 Sugar FreeSuffix: Sugar Free
- Generic name (nonproprietary)
- nicotine polacrilex
- Active ingredients
- Nicotine — 2 mg/1
- Dosage form
- Lozenge
- Route
- Oral
- Labeler
- CVS PharmacyNDC labeler code 69842
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 207868
- Marketing start
- Listing expires
- Other FDA classes
- Nicotine (Chemical structure)
- Identifiers
- Product ID 69842-662_96082784-950d-4144-add7-1f4bd7d5a4ebSPL ID 96082784-950d-4144-add7-1f4bd7d5a4ebSPL set ID 9a96ba38-e696-4465-9869-9b269dc18f8dRxCUI 359817UNII 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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N469842066210followed by a unit qualifier and the quantityPackage 69842-0662-10. 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 .
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.
About NDC 69842-662
- What is NDC 69842-662?
- 69842-662 is the product NDC for Nicotine Sugar Free (nicotine polacrilex), Nicotine 2 mg/1 lozenge, listed with the FDA by CVS Pharmacy. It has 5 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Nicotine Sugar Free (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 Sugar Free?
- 3 other product NDCs are listed under this name. See all Nicotine Sugar Free NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Nicotine Sugar Free products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Nicotine Sugar Freenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS Pharmacy | 69842-932 | 69842-0932-0869842-0932-2769842-0932-89 |
| Nicotine Sugar Freenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS Pharmacy | 69842-957 | 69842-0957-2469842-0957-4869842-0957-68+1 more |
| Nicotine Sugar Freenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | CVS Pharmacy | 69842-858 | 69842-0858-2469842-0858-4869842-0858-68+1 more |
Other NDCs under ANDA 207868
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 |
|---|---|---|---|---|
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Walgreens | 0363-2640 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Rugby Laboratories, Inc. | 0536-1241 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | ATLANTIC BIOLOGICALS CORP. | 17856-1241 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | AmerisourceBergen (Good Neighbor Pharmacy) 46122 | 46122-716 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-436 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Dolgencorp, Inc. (DOLLAR GENERAL & REXALL) | 55910-662 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | P & L Development, LLC | 59726-264 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Chain Drug Consortium, LLC | 68016-087 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | WALMART INC. (see also Equate) | 79903-128 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | HC Jones, Inc. | 83253-264 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | CVS Pharmacy | 69842-564 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Walgreens | 0363-0262 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Rugby Laboratories, Inc. | 0536-1239 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Rite Aid Corporation | 11822-3315 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | ATLANTIC BIOLOGICALS CORP. | 17856-1239 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | AmerisourceBergen (Good Neighbor Pharmacy) 46122 | 46122-715 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | AmerisourceBergen (Good Neighbor Pharmacy) 46122 | 46122-731 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-493 |
| Nicotine Mininicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | A-S Medication Solutions | 50090-8151 |
| Nicotine Mininicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Rising Pharma Holdings, Inc. | 57237-320 |
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