Over-the-counter drug · OTC MONOGRAPH DRUG
Panama Jack SPF 45 Vanilla Lip Balm NDC 87449-204
avobenzone, homosalate, octinoxate, octisalate, petrolatum · Avobenzone 30 mg/g + 4 more ingredients · Stick · Topical · Panama Jack
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 87449-204-01 | 87449020401 | 4.25 g in 1 CONTAINER (87449-204-01)Marketed from Feb 26, 2026 |
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)
- Panama Jack SPF 45 Vanilla Lip Balm
- Generic name (nonproprietary)
- avobenzone, homosalate, octinoxate, octisalate, petrolatum
- Active ingredients
- Avobenzone — 30 mg/gHomosalate — 30 mg/gOctinoxate — 75 mg/gOctisalate — 50 mg/gPetrolatum — 400 mg/g
- Dosage form
- Stick
- Route
- Topical
- Labeler
- Panama Jack
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 352
- Marketing start
- Listing expires
- Identifiers
- Product ID 87449-204_4cfc6e08-4620-6e84-e063-6294a90acfa7SPL ID 4cfc6e08-4620-6e84-e063-6294a90acfa7SPL set ID 71bb5177-20af-4aee-ab02-6687c51fe0a1UNII G63QQF2NOX, V06SV4M95S, 4Y5P7MUD51, 4X49Y0596W, 4T6H12BN9U
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
N487449020401followed by a unit qualifier and the quantityPackage 87449-0204-01. 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 Prevents Sunburns. Helps prevent wind burned and chapped lips.
Excerpt only. Read the full label for complete information.