Over-the-counter drug · OTC MONOGRAPH DRUG
White Petrolatum (Petrolatum) NDC 69396-114
Petrolatum 100 g/100g · Ointment · Topical · Trifecta Pharmaceuticals USA LLC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69396-114Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69396-0114Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69396-114-05 | 6939601140569396011405 | 144 PACKET in 1 CARTON (69396-114-05) / 5 g in 1 PACKETMarketed from Oct 14, 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)
- White Petrolatum
- Generic name (nonproprietary)
- petrolatum
- Active ingredients
- Petrolatum — 100 g/100g
- Dosage form
- Ointment
- Route
- Topical
- Labeler
- Trifecta Pharmaceuticals USA LLCNDC labeler code 69396
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 016
- Marketing start
- Listing expires
- Identifiers
- Product ID 69396-114_29b3e33a-5451-40b4-e063-6394a90a1107SPL ID 29b3e33a-5451-40b4-e063-6394a90a1107SPL set ID f1eb0ec2-98e7-13a2-e053-2a95a90a2938RxCUI 204754UNII 4T6H12BN9UUPC 0850026393590
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
N469396011405followed by a unit qualifier and the quantityPackage 69396-0114-05. 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 and relieves minor cuts scrapes burns chapped or cracked skin and lips
Excerpt only. Read the full label for complete information.
About NDC 69396-114
- What is NDC 69396-114?
- 69396-114 is the product NDC for White Petrolatum (petrolatum), Petrolatum 100 g/100g ointment, listed with the FDA by Trifecta Pharmaceuticals USA LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- White Petrolatum (Petrolatum).
- What is the active ingredient?
- Petrolatum.
- Who is the labeler?
- Trifecta Pharmaceuticals USA LLC, NDC labeler code 69396. 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.
Related NDCs: other White Petrolatum products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| White Petrolatum | Petrolatum 1 g/g | OintmentTopical | Nantong Health & Beyond Hygienic Products Inc. | 43473-309 | 43473-0309-01 |
| White Petrolatumpetrolatum | Petrolatum 100 g/100g | OintmentTopical | Geri-Care Pharmaceuticals, Corp | 57896-164 | 57896-0164-14 |
| White Petrolatum | White petrolatum 1 g/g | OintmentTopical | Henry Schein | 0404-0169 | 00404-0169-50 |
| White Petrolatum | Petrolatum 100 g/100g | CreamTopical | Sled Distribution, LLC | 81417-004 | 81417-0004-01 |
| White Petrolatumskin protectant | Petrolatum 1 g/g | OintmentTopical | Cardinal Health | 70000-0487 | 70000-0487-01 |
| White Petrolatumpetrolatum | White petrolatum 1 g/g | OintmentTopical | Dynarex Corporation | 67777-005 | 67777-0005-0067777-0005-1067777-0005-50+2 more |
| White Petrolatumpetrolatum | Petrolatum 1 g/g | JellyTopical | Sion Biotext Medical Ltd | 68786-211 | 68786-0211-0168786-0211-0268786-0211-03+8 more |
| White Petrolatum | Petrolatum 100 g/100g | JellyTopical | Walmart Inc. | 49035-518 | 49035-0518-27 |
Other NDCs under M 016
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| 2-Pack Facial Serum | Water 78.894 g/100mL + 4 more ingredients | LiquidCutaneous | Guangzhou Ariel Biotech Co., Ltd. | 84148-011 |
| 2-Pack Facial Serum | 3-o-ethyl ascorbic acid .5 g/100mL + 3 more ingredients | LiquidCutaneous | Guangzhou Ariel Biotech Co., Ltd. | 84148-012 |
| 3M Cavilon Durable Barrierdimethicone | Dimethicone 13000 mg/L | CreamTopical | Solventum US LLC | 17518-030 |
| 4% 10gTATTOO Numb Cream4% lidocaine | Lidocaine 100 mg/g | CreamCutaneous | Shengnan (Guangzhou) Cosmetics Co., LTD | 84019-031 |
| 4% TATTOO Numb Cream4% lidocaine | Lidocaine 100 mg/g | CreamCutaneous | Shengnan (Guangzhou) Cosmetics Co., LTD | 84019-030 |
| 456 Acne Relief Creamniacinamide,salicylic acid,centella asiatica root,coptis chinensis root | Salicylic acid 380 mg/50g + 3 more ingredients | CreamTopical | Guangzhou Senmai Biotechnology Co.,Ltd. | 84509-111 |
| 5% Dr.care Numb creamlidocaine | Lidocaine 100 mg/g | CreamCutaneous | Shengnan (Guangzhou) Cosmetics Co., LTD | 84019-028 |
| 5% Minoxidil | Minoxidil 2 g/100g + 3 more ingredients | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-328 |
| 5% Minoxidil | Minoxidil 2 g/100g + 3 more ingredients | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-329 |
| 5% Minoxidil | Biotin .05 g/100g; Niacinamide 2.5 g/100g | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-335 |
| 5% Minoxidil | Minoxidil 5 g/100g + 5 more ingredients | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-337 |
| 5% Minoxidil for Men and Women | Biotin .05 g/100g; Tocopherol .05 g/100g | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-332 |
| 5% Minoxidil Hair Growth | Biotin .1 g/100g + 3 more ingredients | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-333 |
| 5% Minoxidil Hair Growth | Minoxidil 5 g/100g + 3 more ingredients | SprayCutaneous | Guangzhou Yanxi Biotechnology Co., Ltd | 84025-334 |
| 5% Signature Numb creamlidocaine | Lidocaine 100 mg/g | CreamCutaneous | Shengnan (Guangzhou) Cosmetics Co., LTD | 84019-026 |
| 5% Signature Numb cream5% signature | Lidocaine 100 mg/g | CreamCutaneous | Shengnan (Guangzhou) Cosmetics Co., LTD | 84019-027 |
| 5% Signature Numb cream5% lidocaine | Lidocaine 100 mg/g | CreamCutaneous | Shengnan (Guangzhou) Cosmetics Co., LTD | 84019-029 |
| 70% Isopropyl Rubbing Alcoholisopropyl alcohol | Isopropyl alcohol 70 mL/100mL | LiquidTopical | MY IMPORTS USA LLC | 51628-4501 |
| 911allantoin | Allantoin .5 g/100g | OintmentTopical | Skinfix, Inc. | 61328-120 |
| A and Dpetrolatum | Petrolatum 76 g/100g | OintmentTopical | Safetec of America, Inc. | 61010-4405 |
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