Search by Drug Name or NDC
NDC 46122-0718-60 Nicotine Polacrilex 4 mg/1 Details
Nicotine Polacrilex 4 mg/1
Nicotine Polacrilex is a ORAL GUM, CHEWING in the HUMAN OTC DRUG category. It is labeled and distributed by AmerisourceBergen (Good Neighbor Pharmacy) 46122. The primary component is NICOTINE.
Product Information
| NDC | 46122-0718 |
|---|---|
| Product ID | 46122-718_1c0f00e7-8a81-4f2d-9f2d-de1a166a7297 |
| Associated GPIs | |
| GCN Sequence Number | 013486 |
| GCN Sequence Number Description | nicotine polacrilex GUM 4 MG BUCCAL |
| HIC3 | J3A |
| HIC3 Description | SMOKING DETERRENT AGENTS (GANGLIONIC STIM,OTHERS) |
| GCN | 03201 |
| HICL Sequence Number | 002049 |
| HICL Sequence Number Description | NICOTINE POLACRILEX |
| Brand/Generic | Generic |
| Proprietary Name | Nicotine Polacrilex |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Nicotine Polacrilex |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | GUM, CHEWING |
| Route | ORAL |
| Active Ingredient Strength | 4 |
| Active Ingredient Units | mg/1 |
| Substance Name | NICOTINE |
| Labeler Name | AmerisourceBergen (Good Neighbor Pharmacy) 46122 |
| Pharmaceutical Class | Cholinergic Nicotinic Agonist [EPC], Nicotine [CS] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA078697 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 46122-0718-60 (46122071860)
| NDC Package Code | 46122-718-60 |
|---|---|
| Billing NDC | 46122071860 |
| Package | 20 BLISTER PACK in 1 CARTON (46122-718-60) / 1 GUM, CHEWING in 1 BLISTER PACK |
| Marketing Start Date | 2023-02-22 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.31287 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | GNP NICOTINE 4 MG CHEWING GUM |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 1 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
This pricing file, entitled the NADAC (National Average Drug Acquisition
Cost) files, provide
state Medicaid agencies with covered outpatient drug prices by averaging
survey invoice
prices from retail community pharmacies across the United States. These
pharmacies include
independent retail community pharmacies and chain pharmacies. The prices
are updated on a
weekly and monthly basis