What is NDC 84204-0006?

84204-0006 is the product NDC for Black Girl Sunscreen SPF 45, Octocrylene 95 mg/mL + 3 more ingredients gel, listed with the FDA by Black Girl Sunscreen, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Black Girl Sunscreen SPF 45 (Avobenzone, Homosalate, Octisalate, Octocrylene).

What is the active ingredient?

Octocrylene, Octisalate, Avobenzone, Homosalate.

Black Girl Sunscreen, LLC, NDC labeler code 84204. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Black Girl Sunscreen SPF 45?

1 other product NDC are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Black Girl Sunscreen SPF 45 NDC 84204-0006

NDC codes

FDA NDC Directory

Product NDC (as listed)84204-0006Labeler and product segments. Claims need a package NDC.

Product NDC at billing width84204-0006Add 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
84204-0006-3	8420400060384204000603	50 mL in 1 TUBE (84204-0006-3)Marketed from Aug 4, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Black Girl Sunscreen SPF 45Suffix: SPF 45
Generic name (nonproprietary): avobenzone, homosalate, octisalate, octocrylene
Active ingredients: Octocrylene — 95 mg/mLOctisalate — 47.5 mg/mLAvobenzone — 28.5 mg/mLHomosalate — 95 mg/mL
Dosage form: Gel
Route: Topical
Labeler: Black Girl Sunscreen, LLCNDC labeler code 84204
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 020
Marketing start: Aug 4, 2023
Listing expires: Dec 31, 2026
Identifiers: Product ID 84204-0006_2bc487e0-0b2a-868f-e063-6294a90a504eSPL ID 2bc487e0-0b2a-868f-e063-6294a90a504eSPL set ID 2bc4b1b1-5f19-7ba3-e063-6394a90a5de7UNII 5A68WGF6WM, 4X49Y0596W, G63QQF2NOX, V06SV4M95SUPC 0860009371026

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

N484204000603 followed by a unit qualifier and the quantity

Package 84204-0006-03. 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, 2025.

Indications (excerpt from the label)

Uses helps prevent sunburn if used as directed with other sun protection measures (see Directions ), decreases the risk of skin cancer and early skin aging caused by the sun

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 84204-0006

What is NDC 84204-0006?: 84204-0006 is the product NDC for Black Girl Sunscreen SPF 45, Octocrylene 95 mg/mL + 3 more ingredients gel, listed with the FDA by Black Girl Sunscreen, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Black Girl Sunscreen SPF 45 (Avobenzone, Homosalate, Octisalate, Octocrylene).
What is the active ingredient?: Octocrylene, Octisalate, Avobenzone, Homosalate.
Who is the labeler?: Black Girl Sunscreen, LLC, NDC labeler code 84204. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Black Girl Sunscreen SPF 45?: 1 other product NDC are listed under this name. See all Black Girl Sunscreen SPF 45 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 Black Girl Sunscreen SPF 45 NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Black Girl Sunscreen SPF 45avobenzone, homosalate, octisalate, octocrylene	Homosalate 79 mg/mL + 3 more ingredients	GelTopical	Black Girl Sunscreen, LLC	84204-0005	84204-0005-03

Other NDCs under M 020

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 020
Product	Strength	Form · route	Labeler	Product NDC
Walgreens Daily Facial Moisturizer with Broad Spectrum SPF 30 Sunscreenavobenzone, octisalate, octocrylene	Avobenzone 30 mg/mL + 2 more ingredients	LotionTopical	WALGREEN COMPANY	0363-0172
Walgreens 100 Sheer Broad Spectrum SPF 100avobenzone, homosalate, octisalate, octocrylene	Avobenzone 30 mg/mL + 3 more ingredients	LotionTopical	WALGREEN COMPANY	0363-0228
Radiance Foundation Broad Spectrum SPF 20 - Cappuccinooctinoxate, zinc oxide	Octinoxate 3 g/100mL; Zinc oxide 6.8 g/100mL	LiquidTopical	Distribuidora Comercial Jafra, S.A. de C.V.	68828-735
Sun Bum High Performance Sunscreen Signature Clear 50 Newoctocrylene, octisalate, zinc oxide	Octisalate 50 mg/mL + 2 more ingredients	LotionTopical	Sun Bum, LLC	69039-708
Scentual Aroma Beauty Sun Veil SPF30titanium dioxide, zinc oxide	Titanium dioxide 2 g/100g; Zinc oxide 18.4 g/100g	CreamTopical	LABORATOIRES DRUIDE INC	71447-056
Crunchi Sunlight Tinted Sunscreen SPF 30 Mediumzinc oxide	Zinc oxide 940 mg/mL	LiquidTopical	Crunchi, LLC.	72444-0204
Farmasi BB Beauty Balm Cream SPF 15- 01 Lighttitanium dioxide	Titanium dioxide 35 mg/mL	CreamTopical	Farmasi US LLC	74690-040
Hydrating Glow Mist SPF 50avobenzone, octisalate, octocrylene	Avobenzone 3 g/100mL + 3 more ingredients	SprayTopical	NAKED SUNDAYS PTY LTD	81104-102
COOLA SunBlur Makeup Mist SPF 50avobenzone, homosalate, octisalate, octocrylene	Octocrylene 80 mg/mL + 3 more ingredients	SprayTopical	COOLA LLC	79753-107
spf 50 mineral powder sunscreentitanium dioxide, zinc oxide	Titanium dioxide 23.9 g/100g; Zinc oxide 24.1 g/100g	PowderTopical	Smalls Brand LLC DBA Roe Wellness	83369-001
Odacite Nourishing Lip Serum - Jazzy Berryzinc oxide	Zinc oxide 132 mg/mL	LotionTopical	Odacite	82088-876
Visor Clear Body Oil-Free Sunscreen SPF 50avobenzone, homosalate, octisalate, octocrylene	Avobenzone 30 mg/mL + 3 more ingredients	GelTopical	VISOR SKINCARE LLC	85335-589
Non Tinted Mineral Sunscreen Sticktitanium dioxide, zinc oxide	Titanium dioxide 40 mg/g; Zinc oxide 55 mg/g	StickTopical	Hirschman, Kristina	85414-219
Headhunter Surf Screen SPF 50 Sunscreenzinc oxide,titanium dioxide	Titanium dioxide 5.6 mg/100mL; Zinc oxide 11 mg/100mL	CreamTopical	Guangzhou Tata Biotechnology Co., Ltd.	84066-107
Olay Complete plus Facial Moisturizer with Sunscreen Broad Spectrum SPF 40 Sensitiveavobenzone, homosalate, octisalate, and octocrylene	Avobenzone 3 g/100mL + 3 more ingredients	LotionTopical	The Procter & Gamble Manufacturing Company	84126-232
Orlaskin Hydrating Sunscreen SPF 50octocrylene ethylhexyl methoxycinnamate ethylhexyl salicylate avobenzone	Octocrylene 10 g/100mL + 3 more ingredients	SprayTopical	Guangzhou Yapheon Health Industry Co., Ltd.	87582-004
Luxe Gloss Hydrating Lip Gloss SPF 35-ICED OUToctocrylene 8%, octisalate 5%, titanium dioxide 6%, zinc oxide 8%	Octocrylene .08 g/mL + 3 more ingredients	CreamTopical	Lale Cosmetics LLC	87911-003
UV Defense Mineral Sunscreen Tintedtitanium dioxide, zinc oxide	Zinc oxide 38 mg/g; Titanium dioxide 80 mg/g	CreamTopical	CCLEAR SOLUTIONS ACNE & SKIN CARE CLINIC	85495-203
Reunited Lipgloss SPF 30 - WALKING ON SUNSHINEhomosalate, octocrylene, octisalate	Homosalate 8 g/100mL + 2 more ingredients	LiquidTopical	Princeville Productions, LLC, DBA Reunited Beauty	87326-002
Banana Boat Baby Mineral Enriched Sunscreen UVA/UVB Protection Broad Spectrum SPF 50PLUShomosalate,octisalate,octocrylene,zinc oxide	Octocrylene 6 g/100g + 3 more ingredients	LotionTopical	Edgewell Personal Care Brands LLC	63354-682

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