Over-the-counter drug · ANDA
Nicotine Sugar Free (Nicotine polacrilex) NDC 69842-858
Nicotine 4 mg/1 · Lozenge · Oral · CVS Pharmacy
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-858-24 | 6984208582469842085824 | 1 BOTTLE, PLASTIC in 1 BOX (69842-858-24) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Apr 30, 2019 | |
| 69842-858-48 | 6984208584869842085848 | 2 BOTTLE, PLASTIC in 1 BOX (69842-858-48) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Apr 30, 2019 | |
| 69842-858-68 | 6984208586869842085868 | 7 BOTTLE, PLASTIC in 1 BOX (69842-858-68) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Apr 30, 2019 | |
| 69842-858-96 | 6984208589669842085896 | 4 BOTTLE, PLASTIC in 1 BOX (69842-858-96) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from Apr 30, 2019 |
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 — 4 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 209206
- Marketing start
- Marketing end
- Other FDA classes
- Nicotine (Chemical structure)
- Identifiers
- Product ID 69842-858_13b0ddbb-8a3d-4a4f-819b-97d7a70d4cdeSPL ID 13b0ddbb-8a3d-4a4f-819b-97d7a70d4cdeSPL set ID a275ff04-4078-4783-932b-dde9aee04682RxCUI 359818UNII 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
N469842085824followed by a unit qualifier and the quantityPackage 69842-0858-24. 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 69842-858
- What is NDC 69842-858?
- 69842-858 is the product NDC for Nicotine Sugar Free (nicotine polacrilex), Nicotine 4 mg/1 lozenge, 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 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 | 69842-662 | 69842-0662-1069842-0662-2069842-0662-27+2 more |
| 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 |
Other NDCs under ANDA 209206
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 |
|---|---|---|---|---|
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Walgreens | 0363-9580 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Walgreens | 0363-9570 |
| Maxi Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Cardinal Health (Leader) 70000 | 70000-0561 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CARDINAL HEALTH 110, LLC. DBA LEADER 70000 | 70000-0562 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Rugby Laboratories, Inc. | 0536-1337 |
| Maxi Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Rugby Laboratories, Inc. | 0536-1338 |
| Nicotine Sugar Freenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | CVS Pharmacy | 69842-957 |
| Maxi Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Rite Aid Corporation | 11822-3317 |
| Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | AmerisourceBergen (Good Neighbor Pharmacy) 46122 | 46122-734 |
| Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | AmerisourceBergen (Good Neighbor Pharmacy) 46122 | 46122-732 |