NDC codes

FDA NDC Directory
Product NDC (as listed)69842-934Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0934Add 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
69842-934-0869842093408698420934084 BOTTLE, PLASTIC in 1 BOX (69842-934-08) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Jun 30, 2020
69842-934-8969842093489698420934897 BOTTLE, PLASTIC in 1 BOX (69842-934-89) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Jun 30, 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)
Mini Nicotine
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 210711
Marketing start
Marketing end
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 69842-934_2ea5a873-a3ae-4099-95e1-d71f834fa61bSPL ID 2ea5a873-a3ae-4099-95e1-d71f834fa61bSPL set ID 89e2a6b9-e759-4c18-a04d-d6fc9f264575RxCUI 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

N469842093408 followed by a unit qualifier and the quantity

Package 69842-0934-08. 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 69842-934

What is NDC 69842-934?
69842-934 is the product NDC for Mini Nicotine (nicotine polacrilex), Nicotine 4 mg/1 lozenge, listed with the FDA by CVS Pharmacy. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Mini Nicotine (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 Mini Nicotine?
16 other product NDCs are listed under this name. See all Mini Nicotine 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 Mini Nicotine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
mini nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralMeijer, Inc.79481-073479481-0734-02
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralMeijer, Inc.79481-095779481-0957-02
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralMeijer, Inc.79481-030179481-0301-0079481-0301-01
Mini Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralMeijer, Inc.79481-022379481-0223-0179481-0223-02
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralP & L Development, LLC59726-26459726-0264-2759726-0264-35
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-66255910-0662-20
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralHC Jones, Inc.83253-26483253-0264-1883253-0264-2783253-0264-81
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-71646122-0716-1546122-0716-1646122-0716-60
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWALMART INC. (see also Equate)79903-12879903-0128-0879903-0128-27
Mini Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-43649035-0436-0849035-0436-27

All 17 Mini Nicotine NDCs

Other NDCs under ANDA 210711

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

FDA NDC Directory listings under ANDA 210711
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-9780
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralP & L Development, LLC59726-650
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralP & L Development, LLC59726-652
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralHC Jones, Inc.83253-978
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralHC Jones, Inc.83253-979
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-0979
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-5760
Nicotine Mininicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-5770
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-932

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