NDC codes

FDA NDC Directory
Product NDC (as listed)21130-069Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0069Add 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
21130-069-182113000691870.8 g in 1 TUBE (21130-069-18)Marketed from Jul 15, 1989
21130-069-2721130006927369 g in 1 JAR (21130-069-27)Marketed from Jul 15, 1989
21130-069-5421130006954106 g in 1 JAR (21130-069-54)Marketed from Jul 15, 1989
21130-069-9621130006996213 g in 1 JAR (21130-069-96)Marketed from Jul 15, 1989

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)
Pure petroleum
Generic name (nonproprietary)
white petrolatum
Active ingredients
Petrolatum — 1 g/g
Dosage form
Jelly
Route
Topical
Labeler
Better Living Brands, LLCNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 21130-069_4b80ddd5-4955-d1d2-e063-6294a90a4023SPL ID 4b80ddd5-4955-d1d2-e063-6294a90a4023SPL set ID 75cb8f17-6ef2-403e-ab6e-d8e1e8168ec8RxCUI 204754UNII 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

N421130006918 followed by a unit qualifier and the quantity

Package 21130-0069-18. 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 21130-069

What is NDC 21130-069?
21130-069 is the product NDC for Pure petroleum (white petrolatum), Petrolatum 1 g/g jelly, listed with the FDA by Better Living Brands, LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pure petroleum (White Petrolatum).
What is the active ingredient?
Petrolatum.
Who is the labeler?
Better Living Brands, LLC, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pure petroleum?
5 other product NDCs are listed under this name. See all Pure petroleum 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 Pure petroleum NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pure petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalValu Merchandisers Company63941-06963941-0069-2763941-0069-54
Pure petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalRite Aid Corporation11822-313511822-3135-0211822-3135-04
Pure petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalTarget Corporation11673-06911673-0069-96
Pure petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalOld East Main Co.55910-06955910-0069-1855910-0069-2755910-0069-96
Pure petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalTopco Associates LLC36800-06936800-0069-2736800-0069-5436800-0069-96

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
Colloidal oatmealOatmeal 10 mg/gCreamTopicalMeijer, Inc.79481-6601
Gold Bond Eczema Relief Medicated Hand Creamcolloidal oatmealOatmeal 2 g/100gCreamTopicalChattem, Inc.41167-0668
Venrockrosemary oilRosmarinus officinalis (Rosemary) leaf oil 55 g/100g; Biotin .001 g/100gOilTopicalGuangzhou Oupeng Cosmetics Co., Ltd85772-0007
First Aid Beauty FAB Ultra Repair Body Skin Protectantcolloidal oatmealOatmeal .5 g/100gLotionTopicalThe Procter & Gamble Manufacturing Company69423-726
AHHH Bite Reliefsodium bicarbonateSodium bicarbonate 5 g/25gGelTopical7827178271-041
Vitacilina Bebe Diaper Rashzinc oxideZinc oxide 400 mg/gOintmentTopicalTaisho Pharmaceutical California Inc.81929-002
Witch HazelWitch hazel 842 mg/mLLiquidTopicalTOP CARE (Topco Associates LLC)36800-039
First Aid Beauty Face and Body Bestsellers Kitcolloidal oatmeal—KitTopicalThe Procter & Gamble Manufacturing Company84126-911
Skin Protectant with 33% Petrolatum Advance Moisturizing CreampetrolatumPetrolatum 33 g/100gCreamTopicalAldermed Inc.87236-011
Theriac Advanced HealinglanolinLanolin 350.8 mg/gOintmentTopicalSheffield Pharmaceuticals LLC11527-325
XtraCare Creamy Petroleum JellypetrolatumPetrolatum 38 g/127gJellyTopicalRejoice International57337-060
Sarnacolloidal oatmealOatmeal 20 mg/mLLotionTopicalCrown Laboratories, Inc.0316-0256
Zinc Oxide 20%zinc oxideZinc oxide .2 g/gOintmentTopicalTrifecta Pharmaceuticals USA69396-021
FIRST AID BEAUTY FAB ULTRA REPAIR SKIN PROTECTANT Kitcolloidal oatmeal—KitTopicalThe Procter & Gamble Manufacturing Company84126-912
ProCure Zinc Oxidezinc oxideZinc oxide 20 g/100gOintmentTopicalTwin Med LLC55681-017
XtraCare Creamy Petroleum JellypetrolatumPetrolatum 38 g/127gJellyTopicalRejoice International57337-061
Zinc Oxide 20%zinc oxideZinc oxide .2 g/gOintmentTopicalTrifecta Pharmaceuticals USA69396-021
Desitin Maximum Strength Zinc Oxide Diaper Rashzinc oxideZinc oxide 400 mg/gPasteTopicalKenvue Brands LLC69968-0396
HydrophorPetrolatum 42 g/100gOintmentTopicalAkron Pharma Inc.71399-5101
Attitude Diaper Cream Zinc Unscentedzinc oxideZinc oxide 15 g/100gStickTopical9055-7588 Quebec Inc. (Attitude)61649-260

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