NDC codes

FDA NDC Directory
Product NDC (as listed)30400-215Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30400-0215Add 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
30400-215-1030400021510304000215101 TUBE in 1 BOX (30400-215-10) / 28.3 g in 1 TUBE (30400-215-01)Marketed from Jan 12, 2022
30400-215-2030400021520304000215201 TUBE in 1 BOX (30400-215-20) / 56.6 g in 1 TUBE (30400-215-02)Marketed from Jan 12, 2022
30400-215-3030400021530304000215301 TUBE in 1 BOX (30400-215-30) / 85 g in 1 TUBE (30400-215-03)Marketed from Jan 12, 2022
30400-215-4030400021540304000215401 TUBE in 1 BOX (30400-215-40) / 113.3 g in 1 TUBE (30400-215-04)Marketed from Jan 12, 2022

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)
Jell with Vitamin A DSuffix: with Vitamin A D
Generic name (nonproprietary)
lanolin, petrolatum
Active ingredients
Petrolatum — 53.4 g/100gLanolin — 15.5 g/100g
Dosage form
Ointment
Route
Topical
Labeler
Jell Pharmaceuticals Pvt Ltd.NDC labeler code 30400
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 30400-215_54717dd7-c1c4-834a-e063-6394a90adbf2SPL ID 54717dd7-c1c4-834a-e063-6394a90adbf2SPL set ID d976e5f0-1be5-d9c4-e053-2a95a90a44a4RxCUI 664981UNII 4T6H12BN9U, 7EV65EAW6H

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

N430400021510 followed by a unit qualifier and the quantity

Package 30400-0215-10. 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 ■ helps treat and prevent diaper rash ■ temporarily protects minor cuts, scrapes and burns ■ temporarily protects and relieve chapped,chafed or cracked skin or lips■ protects chafed skin due to diaper rash and helps seal out wetness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30400-215

What is NDC 30400-215?
30400-215 is the product NDC for Jell with Vitamin A D, Petrolatum 53.4 g/100g; Lanolin 15.5 g/100g ointment, listed with the FDA by Jell Pharmaceuticals Pvt Ltd.. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Jell with Vitamin A D (Lanolin, Petrolatum).
What is the active ingredient?
Petrolatum, Lanolin.
Who is the labeler?
Jell Pharmaceuticals Pvt Ltd., NDC labeler code 30400. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Jell with Vitamin A D?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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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