Over-the-counter drug · OTC MONOGRAPH DRUG
Pure petroleum (White petrolatum) NDC 21130-069
Petrolatum 1 g/g · Jelly · Topical · Better Living Brands, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-069-18 | 2113000691821130006918 | 70.8 g in 1 TUBE (21130-069-18)Marketed from Jul 15, 1989 | |
| 21130-069-27 | 2113000692721130006927 | 369 g in 1 JAR (21130-069-27)Marketed from Jul 15, 1989 | |
| 21130-069-54 | 2113000695421130006954 | 106 g in 1 JAR (21130-069-54)Marketed from Jul 15, 1989 | |
| 21130-069-96 | 2113000699621130006996 | 213 g in 1 JAR (21130-069-96)Marketed from Jul 15, 1989 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- Pure petroleum
- Generic name (nonproprietary)
- white petrolatum
- Active ingredients
- Petrolatum — 1 g/g
- Dosage form
- Jelly
- Route
- Topical
- Labeler
- Better Living Brands, LLCNDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 016
- Marketing start
- Listing expires
- Identifiers
- Product ID 21130-069_4b80ddd5-4955-d1d2-e063-6294a90a4023SPL ID 4b80ddd5-4955-d1d2-e063-6294a90a4023SPL set ID 75cb8f17-6ef2-403e-ab6e-d8e1e8168ec8RxCUI 204754UNII 4T6H12BN9U
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
N421130006918followed by a unit qualifier and the quantityPackage 21130-0069-18. 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.
About NDC 21130-069
- What is NDC 21130-069?
- 21130-069 is the product NDC for Pure petroleum (white petrolatum), Petrolatum 1 g/g jelly, listed with the FDA by Better Living Brands, LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Pure petroleum (White Petrolatum).
- What is the active ingredient?
- Petrolatum.
- Who is the labeler?
- Better Living Brands, LLC, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Pure petroleum?
- 5 other product NDCs are listed under this name. See all Pure petroleum NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Pure petroleum products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Valu Merchandisers Company | 63941-069 | 63941-0069-2763941-0069-54 |
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Rite Aid Corporation | 11822-3135 | 11822-3135-0211822-3135-04 |
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Target Corporation | 11673-069 | 11673-0069-96 |
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Old East Main Co. | 55910-069 | 55910-0069-1855910-0069-2755910-0069-96 |
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Topco Associates LLC | 36800-069 | 36800-0069-2736800-0069-5436800-0069-96 |
Other NDCs under M 016
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Vitamin A Dlanolin, petrolatum | Lanolin 155 mg/g; Petrolatum 534 mg/g | OintmentTopical | Kroger Co. | 30142-022 |
| Scar Treatment Balmallantoin | Allantoin, (R)- .5 g/100g | SalveTopical | Better Planet Brands LLC | 54136-365 |
| BioBarrier Repair Eye Creamallantoin | Allantoin 1.5 g/100g | CreamTopical | Bluemercury Inc. | 72203-020 |
| Boo Boo Magic Diaper Rash Creamyzinc oxide | Zinc oxide 150 mg/mL | SprayTopical | Alboo Brands LLC | 83208-001 |
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Old East Main Co. | 55910-069 |
| ClaraVielanolin | Lanolin 50 g/100g | CreamTopical | Gentell LLC | 61554-307 |
| Aveeno Baby Eczema Therapy Moisturizing Cream Clubtraycolloidal oatmeal | — | KitTopical | Kenvue Brands LLC | 69968-0921 |
| ChapStick Classic Spearmintwhite petrolatum | Petrolatum 450 mg/g | StickTopical | Haleon US Holdings LLC | 0573-0711 |
| Calaminecalamine, pramoxind hcl | Ferric oxide red 80 mg/mL; Pramoxine hydrochloride 10 mg/mL | LotionTopical | Perrigo Direct, Inc | 75981-336 |
| Anubis Barcelonadmae | Glycerin .555 g/30mL + 18 more ingredients | ConcentrateTopical | ANUBIS COSMETICS SL | 83021-546 |
| ODLUMIVIE Dendrobium Restorative Maskdendrobium officinale stem | Dendrobium officinale stem 1 g/100mL | LiquidCutaneous | ODLUMIVIE | 87036-030 |
| OUHOE Lipoma Creamglycerin | Angelica sinensis root .004 mg/20mg; Carthamus tinctorius (Safflower) flower .004 mg/20mg | CreamTopical | Shantou Ouhoe Technology Co., Ltd. | 85163-007 |
| Calaclearpramoxine hydrochloride and zinc acetate | Pramoxine hydrochloride 10 mg/mL; Zinc acetate 1 mg/mL | LotionTopical | Wal-Mart Stores, Inc. | 49035-402 |
| procurepetrolatum | Petrolatum 1 g/g | OintmentTopical | TWIN MED, LLC | 55681-211 |
| insect bite relief 01menthol | Menthol 1 g/100mL | SprayTopical | Cosmuses Cosmetics (Ningbo) Co., Ltd. | 82953-026 |
| Skin protectantpetrolatum | Petrolatum 410 mg/g | OintmentTopical | Nice-Pak Products, LLC | 11344-247 |
| Pure petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Rite Aid Corporation | 11822-3135 |
| Diaper Rashzinc oxide | Zinc oxide 400 mg/g | PasteTopical | The Kroger Co. | 30142-020 |
| Balmex Diaper Rashzinc oxide 11.3% | Zinc oxide 11.3 g/100g | CreamTopical | Randob Labs, LTD | 52412-285 |
| PROCURE VITAMIN A AND D Skin Protectantpetrolatum | Petrolatum 93.4 g/100g | OintmentTopical | TWIN MED, LLC | 55681-215 |
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