What is NDC 81417-004?

81417-004 is the product NDC for White Petrolatum, Petrolatum 100 g/100g cream, listed with the FDA by Sled Distribution, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

Sled Distribution, LLC, NDC labeler code 81417. 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.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

White Petrolatum NDC 81417-004 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)81417-004Labeler and product segments. Claims need a package NDC.

Product NDC at billing width81417-0004Add 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 NDC	11-digit (billing)	Package	Copy
81417-004-01	8141700040181417000401	5 g in 1 POUCH (81417-004-01)Marketed from Aug 29, 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): white petrolatum
Active ingredients: Petrolatum — 100 g/100g
Dosage form: Cream
Route: Topical
Labeler: Sled Distribution, LLCNDC labeler code 81417
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 016
Marketing start: Aug 29, 2022
Listing expires: Dec 31, 2026
Identifiers: Product ID 81417-004_0f0039ab-85ed-a33c-e063-6294a90a834fSPL ID 0f0039ab-85ed-a33c-e063-6294a90a834fSPL set ID e73a4b7a-7b27-abfc-e053-2995a90a35c2UNII 4T6H12BN9UUPC 0850037854097

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

N481417000401 followed by a unit qualifier and the quantity

Package 81417-0004-01. 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 Jan 15, 2024.

Indications (excerpt from the label)

Uses Temporarily protects minor cuts, scrapes, and 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.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 81417-004

What is NDC 81417-004?: 81417-004 is the product NDC for White Petrolatum, Petrolatum 100 g/100g cream, listed with the FDA by Sled Distribution, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: White Petrolatum.
What is the active ingredient?: Petrolatum.
Who is the labeler?: Sled Distribution, LLC, NDC labeler code 81417. 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
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 Petrolatumpetrolatum	Petrolatum 100 g/100g	OintmentTopical	Trifecta Pharmaceuticals USA LLC	69396-114	69396-0114-05
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.

FDA NDC Directory listings under M 016
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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