MedPath
FDA Approval

Nicotine

FDA-approved pharmaceutical product with comprehensive regulatory information, manufacturing details, and complete labeling documentation.

FDA Approval Summary

Company
Sam's West Inc
DUNS: 051957769
Effective Date
June 10, 2025
Labeling Type
HUMAN OTC DRUG LABEL
Nicotine(21 mg in 24 h)

Registrants1

Companies and organizations registered with the FDA for this drug approval, including their contact information and regulatory details.

Haleon US Holdings LLC

079944263

Products1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Nicotine transdermal system

Product Details

NDC Product Code
68196-194
Application Number
NDA020165
Marketing Category
NDA (C73594)
Route of Administration
TRANSDERMAL
Effective Date
June 10, 2025
NicotineActive
Code: 6M3C89ZY6RClass: ACTIBQuantity: 21 mg in 24 h
ETHYLENE-VINYL ACETATE COPOLYMER (40% VINYL ACETATE)Inactive
Code: L5F16ZG4ZUClass: IACT
HIGH DENSITY POLYETHYLENEInactive
Code: UG00KM4WR7Class: IACT

Drug Labeling Information

Complete FDA-approved labeling information including indications, dosage, warnings, contraindications, and other essential prescribing details.

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Principal Display Panel

NDC 68196-194-03

nicotine patch

Nicotine Transdermal System 21mg delivered over 24 hoursStop smoking aid

21 mg

SIMPLY RIGHT**™**

Health Care

Compare to NicoDerm®CQ®*****

Includes behavior support program enrollment form & user’s guide

If you smoke more than 10 cigarettes per day: start with step 1

If you smoke 10 or less cigarettes per day: start with step 2

step 1

21 clear patches

©2011

101775XA

101775XA Nicotine Patch Sams 21 mg 21 ct carton


INDICATIONS & USAGE SECTION

Use

reduces withdrawal symptoms, including nicotine craving, associated with quitting smoking

DOSAGE & ADMINISTRATION SECTION

Directions

**if you are under 18 years of age, ask a doctor before use**

before using this product, read the enclosed User’s Guide for complete directions and other information

stop smoking completely when you begin using the patch

**if you smoke more than 10 cigarettes per day,**use according to the following 10 week schedule:  
STEP 1
STEP 2
STEP 3
Use one 21 mg patch/day
Use one 14 mg patch/day
Use one 7 mg patch/day
Weeks 1-6
Weeks 7-8
Weeks 9-10

if you smoke**10 or less cigarettes per day,**do not use**STEP 1 (21mg).** Start with**STEP 2 (14mg)**, for 6 weeks, then**STEP 3 (7mg)** for 2 weeks and then stop.

steps 2 and 3 allow you to gradually reduce your level of nicotine. Completing the full program will increase your chances of quitting successfully.

apply one new patch every 24 hours on skin that is dry, clean and hairless. Save pouch for disposing of the patch after use.

remove backing from patch and immediately press onto skin. Hold for 10 seconds.

wash hands after applying or removing patch. Throw away the patch by folding sticky ends together. Replace in its pouch and discard. See enclosed User’s Guide for safety and handling.

you may wear the patch for 16 or 24 hours

if you crave cigarettes when you wake up, wear the patch for 24 hours

if you have vivid dreams or other sleep disturbances, you may remove the patch at bedtime and apply a new one in the morning

the used patch should be removed and a new one applied to a different skin site at the same time each day

do not wear more than one patch at a time

do not cut patch in half or into smaller pieces

do not leave patch on for more than 24 hours because it may irritate your skin and loses strength after 24 hours

stop using the patch at the end of 10 weeks. If you started with**STEP 2**, stop using the patch at the end of 8 weeks. If you still feel the need to use the patch, talk to your doctor.

WARNINGS SECTION

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.

Do Not Use

if you continue to smoke, chew tobacco, use snuff, or use a nicotine gum or other nicotine containing products

Ask a doctor before use if you have

heart disease, recent heart attack, or irregular heartbeat. Nicotine can increase your heart rate.

high blood pressure not controlled with medication. Nicotine can increase your blood pressure.

an allergy to adhesive tape or have skin problems because you are more likely to get rashes.

Ask a doctor or pharmacist before use if you are

using a non-nicotine stop smoking drug

taking a prescription medicine for depression or asthma. Your prescription dose may need to be adjusted.

When using this product

do not smoke even when not wearing the patch. The nicotine in your skin will still be entering your blood stream for several hours after you take off the patch.

if you have vivid dreams or other sleep disturbances remove this patch at bedtime

Stop use and ask a doctor if

skin redness caused by the patch does not go away after four days, or if your skin swells, or you get a rash

irregular heartbeat or palpitations occur

you get symptoms of nicotine overdose such as nausea, vomiting, dizziness, weakness and rapid heartbeat

Keep out of reach of children and pets.

Used patches have enough nicotine to poison children and pets. If swallowed, get medical help or contact a Poison Control Center right away. Dispose of the used patches by folding sticky ends together. Replace in pouch and discard.


OTC - ACTIVE INGREDIENT SECTION

Active ingredient (in each patch)

Nicotine, 21 mg delivered over 24 hours

OTC - PURPOSE SECTION

Purpose

Stop smoking aid

OTC - QUESTIONS SECTION

Questions or comments?

call toll-free1-866-255-5205(English/Spanish) weekdays

TO INCREASE YOUR SUCCESS IN QUITTING:

You must be motivated to quit.

Complete the full treatment program, applying a new patch every day.

Use with a support program as described in the enclosed User’s Guide.
**For your family’s protection, Nicotine Patches are supplied in child-resistant pouches. Do not use if individual pouch/packet is damaged or open.**
Nicotine transdermal system 21 mg delivered over 24 hours
**Stop smoking aid**

Not for sale to those under 18 years of age.

Prrof of age required.

Not for sale in vending machines or from any source where proof of age cannot be verified.
Free Audio CD upon request. See inside.
**What is the Nicotine Patch and How is it Used?**
Nicotine Patch is a small, nicotine-containing patch. When you put on a Nicotine Patch, nicotine passes through the skin and into your body. Nicotine Patch is very thin and uses special material to control how fast nicotine passes through the skin. Unlike the sudden jolts of nicotine delivered by cigarettes, the amount of nicotine you receive remains relatively smooth throughout the 24 or 16-hour period you wear the Nicotine Patch. This helps to reduce cravings you may have for nicotine.
Read carton and enclosed User’s Guide before using this product. Keep the carton and User’s Guide. They contain important information.
THE SIMPLY RIGHT™ PROMISE
Simply Right is dedicated to providing healthful, gentle, and safe personal care products for the entire family. We continuously strive to be your trusted partner in wellness and exceed your expectations.
We would like to hear from you with any comments or suggestions. In the continental US or Canada, you can call us toll-free at 1-800-255-5205, Monday through Friday, from 8 am to 5 pm CST. Or you can send us an email at samsclub.com. 
Distributed by:
SAM’S West, Inc.
Bentonville, AR 72716
*NICODERM is a licensed trademark of the GlaxoSmithKline group of companies.
SATISFACTION GUARANTEED BY REFUND OR EXCHANGE
Made in Switzerland
**Send comments/questions to:**
**GCSP 5.4376.4C**
**Consumer Relations**
**P.O. Box 13398**
**Research Triangle Park, NC 27709-9627**

SPL UNCLASSIFIED SECTION

Other information

store at 20-25°C (68-77°F)

INACTIVE INGREDIENT SECTION

Inactive ingredients

ethylene vinyl acetate-copolymer, polyisobutylene and high density polyethylene between clear polyester backings


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