Over-the-counter drug · OTC MONOGRAPH DRUG

Petroleum Jelly (White petrolatum) NDC 0363-1804

White petrolatum 100 g/100g · Jelly · Topical · WALGREENS

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1804Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1804Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0363-1804-07003631804070036318040771 g in 1 TUBE (0363-1804-07)Marketed from Jun 2, 2025

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Petroleum Jelly
Generic name (nonproprietary)
white petrolatum
Active ingredients
White petrolatum — 100 g/100g
Dosage form
Jelly
Route
Topical
Labeler
WALGREENSNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 0363-1804_3669ebd0-eebe-18a9-e063-6294a90a9610SPL ID 3669ebd0-eebe-18a9-e063-6294a90a9610SPL set ID 2017113f-d192-5fbb-e063-6294a90a83b0RxCUI 204754UNII B6E5W8RQJ4

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400363180407 followed by a unit qualifier and the quantity

Package 00363-1804-07. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses temporarily protects minor - cuts - scrapes - burns temporarily protects and helps relieve chapped or cracked skin and lips helps protect from the drying effects of wind and cold weather

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1804

What is NDC 0363-1804?
0363-1804 is the product NDC for Petroleum Jelly (white petrolatum), White petrolatum 100 g/100g jelly, listed with the FDA by WALGREENS. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Petroleum Jelly (White Petrolatum).
What is the active ingredient?
White petrolatum.
Who is the labeler?
WALGREENS, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Petroleum Jelly?
13 other product NDCs are listed under this name. See all Petroleum Jelly NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Petroleum Jelly NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Petroleum Jellywhite petrolatumWhite petrolatum 1 g/gJellyTopicalAldermed Inc.87236-00987236-0009-0187236-0009-0487236-0009-05+4 more
Petroleum Jellywhite petrolatumPetrolatum 1 g/gJellyTopicalKROGER41226-81741226-0817-68
Petroleum Jellybaby petroleum jellyWhite petrolatum 100 g/100gJellyTopicalNeilMed Pharmaceuticals Inc.13709-33713709-0337-01
Petroleum JellyWhite petrolatum 100 g/100gJellyTopicalNeilMed Pharmaceuticals Inc.13709-33113709-0331-0113709-0331-02
Petroleum Jellywhite petrolatum jellyWhite petrolatum 100 g/100gJellyTopicalWALGREENS0363-180100363-1801-0600363-1801-0800363-1801-68
Petroleum Jellywhite petrolatumPetrolatum 1 g/gJellyTopicalWAL-MART STORES INC79903-80179903-0801-68
Petroleum Jellywhite petrolatumWhite petrolatum 100 g/100gJellyTopicalWalmart INC79903-18379903-0183-20
Petroleum JellypetrolatumPetrolatum 100 g/100gJellyTopicalWalgreens0363-072100363-0721-17
Petroleum JellypetrolatumPetrolatum 100 g/100gJellyTopicalWalgreens0363-072100363-0721-13
PETROLEUM jellypetrolatumPetrolatum 30 g/100mLCreamTopicalUniversal Distribution Center LLC52000-12352000-0123-34

All 14 Petroleum Jelly NDCs

Other NDCs under M 016

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 016
ProductStrengthForm · routeLabelerProduct NDC
2-Pack Facial SerumWater 78.894 g/100mL + 4 more ingredientsLiquidCutaneousGuangzhou Ariel Biotech Co., Ltd.84148-011
2-Pack Facial Serum3-o-ethyl ascorbic acid .5 g/100mL + 3 more ingredientsLiquidCutaneousGuangzhou Ariel Biotech Co., Ltd.84148-012
3M Cavilon Durable BarrierdimethiconeDimethicone 13000 mg/LCreamTopicalSolventum US LLC17518-030
4% 10gTATTOO Numb Cream4% lidocaineLidocaine 100 mg/gCreamCutaneousShengnan (Guangzhou) Cosmetics Co., LTD84019-031
4% TATTOO Numb Cream4% lidocaineLidocaine 100 mg/gCreamCutaneousShengnan (Guangzhou) Cosmetics Co., LTD84019-030
456 Acne Relief Creamniacinamide,salicylic acid,centella asiatica root,coptis chinensis rootSalicylic acid 380 mg/50g + 3 more ingredientsCreamTopicalGuangzhou Senmai Biotechnology Co.,Ltd.84509-111
5% Dr.care Numb creamlidocaineLidocaine 100 mg/gCreamCutaneousShengnan (Guangzhou) Cosmetics Co., LTD84019-028
5% MinoxidilMinoxidil 2 g/100g + 3 more ingredientsSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-328
5% MinoxidilMinoxidil 2 g/100g + 3 more ingredientsSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-329
5% MinoxidilBiotin .05 g/100g; Niacinamide 2.5 g/100gSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-335
5% MinoxidilMinoxidil 5 g/100g + 5 more ingredientsSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-337
5% Minoxidil for Men and WomenBiotin .05 g/100g; Tocopherol .05 g/100gSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-332
5% Minoxidil Hair GrowthBiotin .1 g/100g + 3 more ingredientsSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-333
5% Minoxidil Hair GrowthMinoxidil 5 g/100g + 3 more ingredientsSprayCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-334
5% Signature Numb creamlidocaineLidocaine 100 mg/gCreamCutaneousShengnan (Guangzhou) Cosmetics Co., LTD84019-026
5% Signature Numb cream5% signatureLidocaine 100 mg/gCreamCutaneousShengnan (Guangzhou) Cosmetics Co., LTD84019-027
5% Signature Numb cream5% lidocaineLidocaine 100 mg/gCreamCutaneousShengnan (Guangzhou) Cosmetics Co., LTD84019-029
70% Isopropyl Rubbing Alcoholisopropyl alcoholIsopropyl alcohol 70 mL/100mLLiquidTopicalMY IMPORTS USA LLC51628-4501
911allantoinAllantoin .5 g/100gOintmentTopicalSkinfix, Inc.61328-120
A and DpetrolatumPetrolatum 76 g/100gOintmentTopicalSafetec of America, Inc.61010-4405

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