Over-the-counter drug · ANDA

quitine nicotine (Nicotine polacrilex) NDC 84720-103

Nicotine 4 mg/1 · Gum, Chewing · Oral · QUITINE LLC

NDC codes

FDA NDC Directory
Product NDC (as listed)84720-103Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84720-0103Add 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
84720-103-708472001037084720010370240 BLISTER PACK in 1 CARTON (84720-103-70) / 1 GUM, CHEWING in 1 BLISTER PACKMarketed from Oct 1, 2026

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)
quitine nicotine
Generic name (nonproprietary)
nicotine polacrilex
Active ingredients
Nicotine — 4 mg/1
Dosage form
Gum, Chewing
Route
Oral
Labeler
QUITINE LLCNDC labeler code 84720
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 84720-103_6585b83b-1bdc-43f0-b751-5d50832e2733SPL ID 6585b83b-1bdc-43f0-b751-5d50832e2733
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

N484720010370 followed by a unit qualifier and the quantity

Package 84720-0103-70. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 84720-103

What is NDC 84720-103?
84720-103 is the product NDC for quitine nicotine (nicotine polacrilex), Nicotine 4 mg/1 gum, chewing, listed with the FDA by QUITINE LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
quitine nicotine (Nicotine Polacrilex).
What is the active ingredient?
Nicotine.
Who is the labeler?
QUITINE LLC, NDC labeler code 84720. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for quitine nicotine?
13 other product NDCs are listed under this name. See all quitine 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 quitine nicotine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Quitine Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralQUITINE LLC84720-75584720-0755-70
Quitine Nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralQUITINE LLC84720-22284720-0222-76
Quitine Nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralQUITINE LLC84720-01284720-0012-70
Quitine Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralQUITINE LLC84720-30984720-0309-70
Quitine Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralQUITINE LLC84720-40084720-0400-76
Quitine nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralQUITINE LLC84720-12484720-0124-11
Quitine Nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralQUITINE LLC84720-19084720-0190-11
quitine nicotinenicotine polacrilexNicotine 2 mg/1LozengeOralQUITINE LLC84720-00084720-0000-76
quitine nicotinenicotine polacrilexNicotine 4 mg/1LozengeOralQUITINE LLC84720-00784720-0007-76
quitine nicotinenicotine polacrilexNicotine 2 mg/1Gum, ChewingOralQUITINE LLC84720-35284720-0352-70

All 14 quitine nicotine NDCs

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
Basic Care Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-003
basic care nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-577
basic care nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmazon.com Services LLC72288-693
Berkley and Jensen Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBJWC68391-309
Blipnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBlip Products, Inc.82966-309
blipnicotine polacrilexNicotine 4 mg/1Gum, ChewingOralBlip Products, Inc.82966-971
careone nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralAmerican Sales Company41520-843
Coated Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralPublix Super Markets Inc56062-369
equate nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWal-Mart Stores Inc49035-309
foster and thrive nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralStrategic Sourcing Services LLC70677-1193
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-0053
Good Sense Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-4111
good sense nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralL. Perrigo Company0113-8600
good sense nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralA-S Medication Solutions50090-6695
kirkland signature quit 4nicotine polacrilexNicotine 4 mg/1Gum, ChewingOralCostco Wholesale Company63981-309
members mark nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralSam's West Inc68196-309
Members Mark Nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralSam's West Inc68196-971
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreen Company0363-2309
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreen Company0363-7103
nicotinenicotine polacrilexNicotine 4 mg/1Gum, ChewingOralWalgreen Company0363-7971

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