NDC codes

FDA NDC Directory
Product NDC (as listed)69842-957Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0957Add 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
69842-957-2469842095724698420957241 BOTTLE, PLASTIC in 1 BOX (69842-957-24) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020
69842-957-4869842095748698420957481 BOTTLE, PLASTIC in 1 BOX (69842-957-48) / 48 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020
69842-957-6869842095768698420957687 BOTTLE, PLASTIC in 1 BOX (69842-957-68) / 24 LOZENGE in 1 BOTTLE, PLASTICMarketed from May 29, 2020
69842-957-9669842095796698420957964 BOTTLE, PLASTIC in 1 BOX (69842-957-96) / 24 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 209206
Marketing start
Marketing end
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 69842-957_848d350b-189e-44c5-aaea-a4fceb427986SPL ID 848d350b-189e-44c5-aaea-a4fceb427986SPL set ID 63fce25d-457f-4048-86a4-1805f603936cRxCUI 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

N469842095724 followed by a unit qualifier and the quantity

Package 69842-0957-24. 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.

Full label on DailyMed (opens in a new tab)

About NDC 69842-957

What is NDC 69842-957?
69842-957 is the product NDC for Nicotine Sugar Free (nicotine polacrilex), Nicotine 2 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.

Other finished products listed under the same name: strengths, forms and labelers.

Other Nicotine Sugar Free NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-66269842-0662-1069842-0662-2069842-0662-27+2 more
Nicotine Sugar Freenicotine polacrilexNicotine 2 mg/1LozengeOralCVS Pharmacy69842-93269842-0932-0869842-0932-2769842-0932-89
Nicotine Sugar Freenicotine polacrilexNicotine 4 mg/1LozengeOralCVS Pharmacy69842-85869842-0858-2469842-0858-4869842-0858-68+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.

FDA NDC Directory listings under ANDA 209206
ProductStrengthForm · routeLabelerProduct NDC
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralWalgreens0363-9580
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralWalgreens0363-9570
Nicotine Sugar Freenicotine polacrilexNicotine 4 mg/1LozengeOralCVS Pharmacy69842-858
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralCardinal Health (Leader) 7000070000-0561
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralCARDINAL HEALTH 110, LLC. DBA LEADER 7000070000-0562
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralRugby Laboratories, Inc.0536-1337
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRugby Laboratories, Inc.0536-1338
Maxi Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralRite Aid Corporation11822-3317
Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-734
Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-732

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