Over-the-counter drug · OTC MONOGRAPH DRUG

Petroleum Jelly (White petrolatum) NDC 0363-1804

White petrolatum 100 g/100g · Jelly · Topical · WALGREENS

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1804Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1804Add 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
0363-1804-070036318040771 g in 1 TUBE (0363-1804-07)Marketed from Jun 2, 2025

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Petroleum Jelly
Generic name (nonproprietary)
white petrolatum
Active ingredients
White petrolatum — 100 g/100g
Dosage form
Jelly
Route
Topical
Labeler
WALGREENSNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 0363-1804_3669ebd0-eebe-18a9-e063-6294a90a9610SPL ID 3669ebd0-eebe-18a9-e063-6294a90a9610SPL set ID 2017113f-d192-5fbb-e063-6294a90a83b0RxCUI 204754UNII B6E5W8RQJ4

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

N400363180407 followed by a unit qualifier and the quantity

Package 00363-1804-07. 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 chapped or cracked skin and lips helps 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 0363-1804

What is NDC 0363-1804?
0363-1804 is the product NDC for Petroleum Jelly (white petrolatum), White petrolatum 100 g/100g jelly, listed with the FDA by WALGREENS. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Petroleum Jelly (White Petrolatum).
What is the active ingredient?
White petrolatum.
Who is the labeler?
WALGREENS, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Petroleum Jelly?
13 other product NDCs are listed under this name. See all Petroleum Jelly 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 Petroleum Jelly NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Petroleum Jellywhite petrolatumWhite petrolatum 1 g/gJellyTopicalAldermed Inc.87236-00987236-0009-0187236-0009-0487236-0009-05+4 more
Petroleum Jellywhite petrolatumPetrolatum 1 g/gJellyTopicalKROGER41226-81741226-0817-68
Petroleum Jellybaby petroleum jellyWhite petrolatum 100 g/100gJellyTopicalNeilMed Pharmaceuticals Inc.13709-33713709-0337-01
Petroleum JellyWhite petrolatum 100 g/100gJellyTopicalNeilMed Pharmaceuticals Inc.13709-33113709-0331-0113709-0331-02
Petroleum Jellywhite petrolatum jellyWhite petrolatum 100 g/100gJellyTopicalWALGREENS0363-180100363-1801-0600363-1801-0800363-1801-68
Petroleum Jellywhite petrolatumPetrolatum 1 g/gJellyTopicalWAL-MART STORES INC79903-80179903-0801-68
Petroleum Jellywhite petrolatumWhite petrolatum 100 g/100gJellyTopicalWalmart INC79903-18379903-0183-20
Petroleum JellypetrolatumPetrolatum 100 g/100gJellyTopicalWalgreens0363-072100363-0721-17
Petroleum JellypetrolatumPetrolatum 100 g/100gJellyTopicalWalgreens0363-072100363-0721-13
PETROLEUM jellypetrolatumPetrolatum 30 g/100mLCreamTopicalUniversal Distribution Center LLC52000-12352000-0123-34

All 14 Petroleum Jelly NDCs

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
Clear Anti-Itchpramoxine hcl, zinc acetatePramoxine hydrochloride 10 mg/mL; Zinc acetate 1 mg/mLLotionTopicalChain Drug Marketing Association83324-245
CeraVe Developed With Dermatologist Baby Eczema Relief CreamoatmealOatmeal 10 mg/mLCreamTopicalL'Oreal USA Products Inc49967-536
The Indigo Calmingcolloidal oatmealOatmeal 20 mg/mLCreamTopicalTATCHA INC.69417-140
Awaken Moisturizing CreamdimethiconeDimethicone 5 g/100gCreamTopicalGuangzhou Danting Bath&Body Care Industry Co. Ltd75376-104
Calamineferric oxide redFerric oxide red 80 mg/mL; Zinc oxide 80 mg/mLLotionTopicalChain Drug Marketing Association83324-248
Magnet Eye Sheet Maskeye maskAllantoin .5 mg/100gPatchTopicalGuangdong Bisutang Biotechnology Co., LTD84753-039
Arm and Hammer Baking Sodasodium bicarbonateSodium bicarbonate 1 g/gPowderOralChurch & Dwight Co., Inc.10237-591
Tatwax Vitamins AdpetrolatumPetrolatum 76 g/100gOintmentTopicalNantong Health & Beyond Hygienic Products Inc.43473-090
calahistcalamine and pramoxine hydrochloridePramoxine hydrochloride 10 mg/mL; Zinc oxide 80 mg/mLLotionTopicalWALGREEN COMPANY0363-9411
TheraCare Diabetic Foot Creamdimethicone, petrolatumPetrolatum 30 g/100g; Dimethicone 1 g/100gCreamTopicalVeridian Healthcare71101-023
XIMONTH Bee Venom Joint CreamglycerinApis mellifera venom .02 mg/100mg; Mentha piperita leaf .02 mg/100mgCreamTopicalShantou Ximonth Biotechnology Co., Ltd.84989-005
health beyond VITAMINS ADpetrolatumPetrolatum 76 g/100gOintmentTopicalNantong Health & Beyond Hygienic Products Inc.43473-091
Good Neighbor Petroleum Jellywhite petrolatumPetrolatum 100 g/100gJellyTopicalAmerisourceBergen46122-714
KIEHLS SINCE 1851 Ultra Facial Meltdown Recoverycolloidal oatmealOatmeal 10 mg/mLCreamTopicalLOreal USA Products Inc49967-571
Humco Calaclearpramoxine hydrochloride and zinc acetatePramoxine hydrochloride 10 mg/mL; Zinc acetate 1 mg/mLLotionTopicalHumco Holding Group, Inc.0395-0400
Dukal White PetrolatumpetrolatumPetrolatum 1 g/gJellyTopicalDukal LLC65517-2023
Minoxidil Hair Growth OilMinoxidil 10 g/100g; Phenoxyethanol .8 g/100gOilCutaneousGuangzhou Yanxi Biotechnology Co., Ltd84025-327
XIMONTH Bee Venom RepairglycerinApis mellifera venom .004 mg/20mgLiquidTopicalShantou Ximonth Biotechnology Co., Ltd.84989-006
Pharmacy Choicementhol, zinc oxideMenthol .44 g/100g; Zinc oxide 20.6 g/100gOintmentTopicalPHARMACY CHOICE INC87228-3010
DawnMist White Petrolatumwhite petrolatumWhite petrolatum 1 g/gJellyTopicalDukal LLC65517-2024

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