NICOTINE- nicotine polacrilex gum, chewing 
Rite Aid Corporation

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Nicotine Polacrilex Gum Coated Ice Mint 4 mg ANDA204833 - Equate

Drug Facts

Active ingredient (in each chewing piece)

Nicotine Polacrilex 4 mg (nicotine)

Purpose

Stop smoking aid

Use

Warnings

If you are pregnant or breast-feeding, only use this medicine on the advice of your health care provider. Smoking can seriously harm your child. Try to stop smoking without using any nicotine replacement medicine. This medicine is believed to be safer than smoking. However, the risks to your child from this medicine are not fully known.

Ask a doctor before use if you have

Ask a doctor or pharmacist before use if you are

Stop use and ask a doctor if

Keep out of reach of children and pets.

Pieces of nicotine gum may have enough nicotine to make children and pets sick. Wrap used pieces of gum in paper and throw away in the trash. In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

Directions

Weeks 1 to 6

Weeks 7 to 9

Weeks 10 to 12

1 piece every
1 to 2 hours

1 piece every
2 to 4 hours

1 piece every
4 to 8 hours

Other information

Inactive ingredients

acacia, acesulfame potassium, carnauba wax, D&C yellow #10, FD&C blue #2, FD&C red #40, FD&C yellow #6, flavors, gum base, hydroxypropyl cellulose, magnesium oxide, sodium bicarbonate, sodium carbonate, sucralose, talc, titanium dioxide, xylitol.

Questions or comments?

Call 1-877-753-3935 Monday-Friday 9AM-5PM EST

Principal Display Panel

Compare to the active ingredient in Nicorette® Gum*

FREE   |    SUGAR

FROM  |    FREE

Nicotine Gum

Stop Smoking Aid

Nicotine Polacrilex Gum USP, 4 mg (nicotine)

FOR THOSE WHO SMOKE THEIR FIRST CIGARETTE WITHIN 30 MINUTES OF WAKING UP

If you smoke your first cigarette MORE THAN  30 MINUTES after waking up, use Nicotine Polacrilex gum, 2 mg

Sugar Free coated nicotine gum

COATED FRUIT FLAVOR

TO INCREASE YOUR SUCCESS IN QUITTING:

1. You must be motivate to quit

2. Use Enough - Chew at least 9 pieces of Nicotine Polacrilex Gum per day during the first six weeks

3. Use long enough - Use Nicotine Polacrilex Gum for the full 12 weeks

4. Use with a Support Program as directed in the enclosed User's Guide

To remove the gum, tear off single unit

Peel off backing starting at corner with loose edge

Push gum through foil

*This product is not manufactured or distributed by GlaxoSmithKline Consumer Healthcare, L.P. distributor of Nicorette® Gum

BLISTER PACKAGED FOR YOUR PROTECTION. DO NOT USE IF INDIVIDUAL SEALS ARE OPEN OR TORN.

DISTRIBUTED BY:

RITE AID, 30 HUNTER LANE,

CAMP HILL, PA 17011

www.riteaid.com

Package Label

Nicotine Polacrilex 4 mg (nicotine)

RITE AID Nicotine Gum Coated Fruit Flavor

NICOTINE 
nicotine polacrilex gum, chewing
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:11822-3337
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
NICOTINE (UNII: 6M3C89ZY6R) (NICOTINE - UNII:6M3C89ZY6R) NICOTINE4 mg
Inactive Ingredients
Ingredient NameStrength
ACACIA (UNII: 5C5403N26O)  
ACESULFAME POTASSIUM (UNII: 23OV73Q5G9)  
CARNAUBA WAX (UNII: R12CBM0EIZ)  
FD&C RED NO. 40 (UNII: WZB9127XOA)  
HYDROXYPROPYL CELLULOSE, UNSPECIFIED (UNII: 9XZ8H6N6OH)  
D&C YELLOW NO. 10 (UNII: 35SW5USQ3G)  
SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
SODIUM CARBONATE (UNII: 45P3261C7T)  
TALC (UNII: 7SEV7J4R1U)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
XYLITOL (UNII: VCQ006KQ1E)  
SUCRALOSE (UNII: 96K6UQ3ZD4)  
MAGNESIUM OXIDE (UNII: 3A3U0GI71G)  
FD&C BLUE NO. 2 (UNII: L06K8R7DQK)  
FD&C YELLOW NO. 6 (UNII: H77VEI93A8)  
Product Characteristics
Coloryellow (light tan) Scoreno score
ShapeSQUARESize14mm
FlavorFRUITImprint Code
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:11822-3337-320 in 1 CARTON05/29/2020
11 in 1 BLISTER PACK; Type 0: Not a Combination Product
2NDC:11822-3337-2100 in 1 CARTON05/29/2020
21 in 1 BLISTER PACK; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
ANDAANDA07903805/29/2020
Labeler - Rite Aid Corporation (014578892)

Revised: 1/2022
Document Id: 649d733d-8e2f-4f18-a2aa-bbaf366ca720
Set id: c7efcc74-e5ef-4296-9b6e-878b09046f2d
Version: 7
Effective Time: 20220119
 
Rite Aid Corporation