Over-the-counter drug · ANDA
Mini Nicotine (Nicotine polacrilex) NDC 79903-128
Nicotine 4 mg/1 · Lozenge · Oral · WALMART INC. (see also Equate)
NDC codes
FDA NDC DirectoryProduct NDC (as listed)79903-128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0128Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-128-08 | 7990301280879903012808 | 4 BOTTLE, PLASTIC in 1 BOX (79903-128-08) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Jul 1, 2022 | |
| 79903-128-27 | 7990301282779903012827 | 1 BOTTLE, PLASTIC in 1 BOX (79903-128-27) / 27 LOZENGE in 1 BOTTLE, PLASTICMarketed from Jul 1, 2022 |
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
- WALMART INC. (see also Equate)NDC labeler code 79903
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 207868
- Marketing start
- Marketing end
- Other FDA classes
- Nicotine (Chemical structure)
- Identifiers
- Product ID 79903-128_51f684ef-7f01-495b-b6cd-51ed29d88bb3SPL ID 51f684ef-7f01-495b-b6cd-51ed29d88bb3SPL set ID 286e2768-ad98-43be-a3be-a2db0370f50fRxCUI 359818UNII 6M3C89ZY6RUPC 0681131106696
- 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
N479903012808followed by a unit qualifier and the quantityPackage 79903-0128-08. 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.
About NDC 79903-128
- What is NDC 79903-128?
- 79903-128 is the product NDC for Mini Nicotine (nicotine polacrilex), Nicotine 4 mg/1 lozenge, listed with the FDA by WALMART INC. (see also Equate). 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?
- WALMART INC. (see also Equate), NDC labeler code 79903. 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.
Related NDCs: other Mini Nicotine products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| mini nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Meijer, Inc. | 79481-0734 | 79481-0734-02 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Meijer, Inc. | 79481-0957 | 79481-0957-02 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Meijer, Inc. | 79481-0301 | 79481-0301-0079481-0301-01 |
| Mini Nicotinenicotine polacrilex | Nicotine 2 mg/1 | LozengeOral | Meijer, Inc. | 79481-0223 | 79481-0223-0179481-0223-02 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | P & L Development, LLC | 59726-264 | 59726-0264-2759726-0264-35 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Dolgencorp, Inc. (DOLLAR GENERAL & REXALL) | 55910-662 | 55910-0662-20 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | HC Jones, Inc. | 83253-264 | 83253-0264-1883253-0264-2783253-0264-81 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | AmerisourceBergen (Good Neighbor Pharmacy) 46122 | 46122-716 | 46122-0716-1546122-0716-1646122-0716-60 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-436 | 49035-0436-0849035-0436-27 |
| Mini Nicotinenicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | CVS Pharmacy | 69842-934 | 69842-0934-0869842-0934-89 |
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 | 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 |
| Nicotine Mininicotine polacrilex | Nicotine 4 mg/1 | LozengeOral | Rising Pharma Holdings, Inc. | 57237-321 |
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