NDC codes

FDA NDC Directory
Product NDC (as listed)67777-005Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0005Add 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
67777-005-0067777000500677770005006 BOX in 1 CASE (67777-005-00) / 144 PACKET in 1 BOX (67777-005-01) / 5 g in 1 PACKETMarketed from Oct 26, 2018
67777-005-10677770005106777700051072 BOX in 1 CASE (67777-005-10) / 1 TUBE in 1 BOX (67777-005-11) / 28.4 g in 1 TUBEMarketed from Oct 26, 2018
67777-005-50677770005506777700055012 BOX in 1 CASE (67777-005-50) / 6 TUBE in 1 BOX (67777-005-51) / 113 g in 1 TUBE (67777-005-52)Marketed from Oct 26, 2018
67777-005-5167777000551677770005516 TUBE in 1 BOX (67777-005-51) / 113 g in 1 TUBE (67777-005-52)Marketed from Oct 26, 2018
67777-005-70677770005706777700057012 JAR in 1 CASE (67777-005-70) / 425 g in 1 JAR (67777-005-71)Marketed from Oct 26, 2018

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)
White Petrolatum
Generic name (nonproprietary)
petrolatum
Active ingredients
White petrolatum — 1 g/g
Dosage form
Ointment
Route
Topical
Labeler
Dynarex CorporationNDC labeler code 67777
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 67777-005_4ddba886-ec28-ef1e-e063-6394a90a3a86SPL ID 4ddba886-ec28-ef1e-e063-6394a90a3a86SPL set ID 81f5092d-0632-bf47-e053-2991aa0ac563RxCUI 204754UNII B6E5W8RQJ4UPC 0616784114521, 0616784114026, 0616784114118, 0616784114712

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

N467777000500 followed by a unit qualifier and the quantity

Package 67777-0005-00. 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 chafed, chapped, or cracked skin and lips • Helps prevent and protect from the drying effects of wind and cold weather • Protects chafed skin due to diaper rash

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67777-005

What is NDC 67777-005?
67777-005 is the product NDC for White Petrolatum (petrolatum), White petrolatum 1 g/g ointment, listed with the FDA by Dynarex Corporation. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
White Petrolatum (Petrolatum).
What is the active ingredient?
White petrolatum.
Who is the labeler?
Dynarex Corporation, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for White Petrolatum?
8 other product NDCs are listed under this name. See all White Petrolatum 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 White Petrolatum NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
White PetrolatumPetrolatum 1 g/gOintmentTopicalNantong Health & Beyond Hygienic Products Inc.43473-30943473-0309-01
White PetrolatumpetrolatumPetrolatum 100 g/100gOintmentTopicalGeri-Care Pharmaceuticals, Corp57896-16457896-0164-14
White PetrolatumWhite petrolatum 1 g/gOintmentTopicalHenry Schein0404-016900404-0169-50
White PetrolatumpetrolatumPetrolatum 100 g/100gOintmentTopicalTrifecta Pharmaceuticals USA LLC69396-11469396-0114-05
White PetrolatumPetrolatum 100 g/100gCreamTopicalSled Distribution, LLC81417-00481417-0004-01
White Petrolatumskin protectantPetrolatum 1 g/gOintmentTopicalCardinal Health70000-048770000-0487-01
White PetrolatumpetrolatumPetrolatum 1 g/gJellyTopicalSion Biotext Medical Ltd68786-21168786-0211-0168786-0211-0268786-0211-03+8 more
White PetrolatumPetrolatum 100 g/100gJellyTopicalWalmart Inc.49035-51849035-0518-27

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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