Simply Right Nicotine
NDC Package 68196-930-13

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Simply Right Nicotine is a . Marketed by Sam's West Inc, this product is identified by NDC 68196-930 and is authorized under FDA application ANDA077007.

Identification & Billing

NDC Package Code
68196-930-13
Package Description
7 VIAL in 1 PACKAGE / 27 LOZENGE in 1 VIAL
Product Code
68196-930
11-Digit Billing Format
68196093013

Clinical Specifications

Proprietary Name
Simply Right Nicotine
Dosage Form
-

Regulatory & Marketing

Labeler Name
Sam's West Inc
FDA Application #
ANDA077007
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
05-05-2014
End Marketing Date
11-01-2016
Listing Expiration
11-01-2016
Exclude Flag
D
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (68196-930). Click a package code to view its specific billing and regulatory data.

68196-930-09
27 LOZENGE in 1 VIAL

* 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 68196-930-13 identifies a specific commercial package of 7 vial in 1 package / 27 lozenge in 1 vial of Simply Right Nicotine, labeled by Sam's West Inc. 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 Sam's West Inc on May 05, 2014. The current certification is valid through November 01, 2016.

How is this Sam's West Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68196093013. 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 (5-3-2)
68196-930-13
11-Digit CMS (5-4-2)
68196-0930-13

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