Over-the-counter drug · OTC MONOGRAPH DRUG
Dermatone SPF 30 Bass Pro Shop NDC 54414-109
avobenzone, homosalate, octinoxate, octocrylene, dimethicone · Avobenzone 30 mg/g + 4 more ingredients · Stick · Topical · Dermatone
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 54414-109-01 | 54414010901 | 4.2 g in 1 CONTAINER (54414-109-01)Marketed from Dec 1, 2025 |
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)
- Dermatone SPF 30 Bass Pro Shop
- Generic name (nonproprietary)
- avobenzone, homosalate, octinoxate, octocrylene, dimethicone
- Active ingredients
- Avobenzone — 30 mg/gHomosalate — 82 mg/gOctinoxate — 75 mg/gOctocrylene — 50 mg/gDimethicone 100 — 400 mg/g
- Dosage form
- Stick
- Route
- Topical
- Labeler
- Dermatone
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 352
- Marketing start
- Listing expires
- Identifiers
- Product ID 54414-109_461b59a7-37c4-bbd2-e063-6394a90a8126SPL ID 461b59a7-37c4-bbd2-e063-6394a90a8126SPL set ID fa25d60b-ca1c-47c9-aafa-2e337bcfdd91UNII G63QQF2NOX, V06SV4M95S, 4Y5P7MUD51, 5A68WGF6WM, RO266O364U
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
N454414010901followed by a unit qualifier and the quantityPackage 54414-0109-01. 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 prevent sunburns. Helps prevent and temporarily protect dry, chapped or windburned lips.
Excerpt only. Read the full label for complete information.