NDC codes

FDA NDC Directory
Product NDC (as listed)72288-693Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72288-0693Add 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
72288-693-0172288069301310 BLISTER PACK in 1 CARTON (72288-693-01) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Sep 20, 2023
72288-693-2972288069329220 BLISTER PACK in 1 CAPSULE (72288-693-29) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Mar 14, 2024

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)
basic care nicotine
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206393
Marketing start
Listing expires
Other FDA classes
Nicotine (Chemical structure)
Identifiers
Product ID 72288-693_6f1bf026-0066-4066-bfe6-bb5ab0fe0f68SPL ID 6f1bf026-0066-4066-bfe6-bb5ab0fe0f68SPL set ID 107d6b24-fa5e-4fff-8365-b0b92251708eRxCUI 311975UNII 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

N472288069301 followed by a unit qualifier and the quantity

Package 72288-0693-01. 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)

Other NDCs under ANDA 206393

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

FDA NDC Directory listings under ANDA 206393
ProductStrengthForm · routeLabelerProduct NDC
Up And Up Coated Fruit Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralTarget Corporation82442-971
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralMeijer, Inc.79481-0601
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralMeijer Distribution Inc41250-689
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreen Company0363-2309
Basic Care Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-003
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralRite Aid Corporation11822-0309
kirkland signature quit 4nicotine polacrilexNicotine 4 mg/1Gum, ChewingOralCostco Wholesale Company63981-309
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralKroger Company30142-848
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralPublix Super Markets Inc56062-019
good sense nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-8600
Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-309
careone nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmerican Sales Company41520-843
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreen Company0363-7971
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-4111
Topcare Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralTopco Associates LLC36800-650
Blipnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBlip Products, Inc.82966-309
blipnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBlip Products, Inc.82966-971
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreen Company0363-7103
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-0053
Coated Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralPublix Super Markets Inc56062-369

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