Rugby Nicotine Polacrilex Gum, Mint Flavor
NDC Package 50090-1151-0

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Rugby Nicotine Polacrilex Gum, Mint Flavor is if you are under 18 years of age, ask a doctor before usebefore using this product, read the enclosed User's Guide for complete directions and other important informationstop smoking completely when you begin using the gumif you smoke your first cigarette within 30 minutes of waking up, use 4 mg nicotine gumif you smoke your first cigarette more than 30 minutes after waking up, use 2 mg nicotine gum according to the following 12 week schedule:  Weeks 1 to 6    Weeks 7 to 9    Weeks 10 to 12  1 piece every1 to 2 hours1 piece every2 to 4 hours 1 piece every4 to 8 hoursnicotine gum is a medicine and must be used a certain way to get the best resultschew the gum slowly until it tingles. Marketed by A-s Medication Solutions, this product is identified by NDC 50090-1151 and is authorized under FDA application ANDA076568.

Identification & Billing

NDC Package Code
50090-1151-0
Package Description
11 BLISTER PACK in 1 CARTON / 10 GUM, CHEWING in 1 BLISTER PACK
Product Code
50090-1151
11-Digit Billing Format
50090115100
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
11 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Rugby Nicotine Polacrilex Gum, Mint Flavor
Dosage Form
-
Usage Information
If you are under 18 years of age, ask a doctor before usebefore using this product, read the enclosed User's Guide for complete directions and other important informationstop smoking completely when you begin using the gumif you smoke your first cigarette within 30 minutes of waking up, use 4 mg nicotine gumif you smoke your first cigarette more than 30 minutes after waking up, use 2 mg nicotine gum according to the following 12 week schedule:  Weeks 1 to 6    Weeks 7 to 9    Weeks 10 to 12  1 piece every1 to 2 hours1 piece every2 to 4 hours 1 piece every4 to 8 hoursnicotine gum is a medicine and must be used a certain way to get the best resultschew the gum slowly until it tingles. Then park it between your cheek and gum. When the tingle is gone, begin chewing again until the tingle returns.repeat this process until most of the tingle is gone (about 30 minutes)do not eat or drink for 15 minutes before chewing the nicotine gum, or while chewing a pieceto improve your chances of quitting, use at least 9 pieces per day for the first 6 weeksif you experience strong or frequent cravings, you may use a second piece within the hour. However, do not continuously use one piece after another since this may cause you hiccups, heartburn, nausea or other side effects.do not use more than 24 pieces a dayit is important to complete treatment. Stop using the nicotine gum at the end of 12 weeks. If you still feel the need to use nicotine gum, talk to your doctor.

Regulatory & Marketing

Labeler Name
A-s Medication Solutions
FDA Application #
ANDA076568
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
07-29-2004
Listing Expiration
12-31-2022
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 50090-1151-0 identifies a specific commercial package of 11 blister pack in 1 carton / 10 gum, chewing in 1 blister pack of Rugby Nicotine Polacrilex Gum, Mint Flavor, labeled by A-s Medication Solutions. This product is billed for "EA" each discreet unit and contains an estimated amount of 11 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by A-s Medication Solutions on July 29, 2004. The current certification is valid through December 31, 2022.

How is this A-s Medication Solutions product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 50090115100. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 11 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-4-1)
50090-1151-0
11-Digit CMS (5-4-2)
50090-1151-00

Note: The zero is added to the Package segment to maintain the 5-4-2 structure.