Nicotine Oral Pouch
NDC Package 87494-001-01

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 discontinued by the firm.

Nicotine Oral Pouch is to use, place one pouch between your gum and lip. Marketed by Guangzhou Shuimu Jiahe Trading Co., Ltd., this product is identified by NDC 87494-001 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
87494-001-01
Package Description
45 mg in 1 BOX, UNIT-DOSE
Product Code
87494-001
11-Digit Billing Format
87494000101

Clinical Specifications

Proprietary Name
Nicotine Oral Pouch
Dosage Form
-
Usage Information
To use, place one pouch between your gum and lip. Leave it in place. Do not chewor swallow the pouch. -You may feel a slight tingling sensation.-Do not eat or drink 15 minutes before using or while the pouch is in your mouth,to maximize the experience. -lf you are using this product to change your habits, using at least a certainnumber of pouches per day initially may help manage urges.-Do not use more than one pouch at a time or continuously use one pouch afteranother, as this may cause hiccups, heartburn, nausea, or other side effects.-Do not exceed your personal tolerance. lt is recommended to start slowly andassess your response. -Do not use more than 6 pouches in 5 hours. Do not use more than 20 pouches perday. -lt is important to be mindful of your usage. lf you feel you need to use the pouchfor a longer period to manage your habits, consider consulting your health careprovider for a plan.

Regulatory & Marketing

Labeler Name
Guangzhou Shuimu Jiahe Trading Co., Ltd.
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-08-2026
End Marketing Date
08-06-2026
Listing Expiration
08-06-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 87494-001-01 identifies a specific commercial package of 45 mg in 1 box, unit-dose of Nicotine Oral Pouch, labeled by Guangzhou Shuimu Jiahe Trading Co., Ltd.. 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 Guangzhou Shuimu Jiahe Trading Co., Ltd. on March 08, 2026. The current certification is valid through August 06, 2026.

How is this Guangzhou Shuimu Jiahe Trading Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 87494000101. 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)
87494-001-01
11-Digit CMS (5-4-2)
87494-0001-01

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