Over-the-counter drug · OTC MONOGRAPH DRUG
Cocoa Butter Petroleum Jelly (White petrolatum) NDC 30400-503
Petrolatum 99 g/100g · Jelly · Topical · Jell Pharmaceuticals Pvt. Ltd.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)30400-503Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30400-0503Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 30400-503-01 | 3040005030130400050301 | 49 g in 1 JAR (30400-503-01)Marketed from Dec 24, 2020 | |
| 30400-503-02 | 3040005030230400050302 | 100 g in 1 JAR (30400-503-02)Marketed from Dec 24, 2020 | |
| 30400-503-03 | 3040005030330400050303 | 340 g in 1 JAR (30400-503-03)Marketed from Dec 24, 2020 | |
| 30400-503-04 | 3040005030430400050304 | 170 g in 1 JAR (30400-503-04)Marketed from Dec 24, 2020 | |
| 30400-503-05 | 3040005030530400050305 | 212 g in 1 JAR (30400-503-05)Marketed from Dec 24, 2020 | |
| 30400-503-06 | 3040005030630400050306 | 226 g in 1 JAR (30400-503-06)Marketed from Dec 24, 2020 | |
| 30400-503-07 | 3040005030730400050307 | 368 g in 1 JAR (30400-503-07)Marketed from Dec 24, 2020 |
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)
- Cocoa Butter Petroleum Jelly
- Generic name (nonproprietary)
- white petrolatum
- Active ingredients
- Petrolatum — 99 g/100g
- Dosage form
- Jelly
- Route
- Topical
- Labeler
- Jell Pharmaceuticals Pvt. Ltd.NDC labeler code 30400
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 016
- Marketing start
- Listing expires
- Identifiers
- Product ID 30400-503_5db79a5b-ff01-4da8-e063-6294a90ab74aSPL ID 5db79a5b-ff01-4da8-e063-6294a90ab74a
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
N430400050301followed by a unit qualifier and the quantityPackage 30400-0503-01. 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
The FDA listing for this product does not reference a label (SPL) set.
About NDC 30400-503
- What is NDC 30400-503?
- 30400-503 is the product NDC for Cocoa Butter Petroleum Jelly (white petrolatum), Petrolatum 99 g/100g jelly, listed with the FDA by Jell Pharmaceuticals Pvt. Ltd.. It has 7 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Cocoa Butter Petroleum Jelly (White Petrolatum).
- What is the active ingredient?
- Petrolatum.
- Who is the labeler?
- Jell Pharmaceuticals Pvt. Ltd., NDC labeler code 30400. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Cocoa Butter Petroleum Jelly?
- 3 other product NDCs are listed under this name. See all Cocoa Butter Petroleum Jelly NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Cocoa Butter Petroleum Jelly products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Cocoa Butter Petroleum Jellywhite petrolatum jelly | White petrolatum 99 g/100g | JellyTopical | WALGREENS | 0363-1802 | 00363-1802-06 |
| COCOA BUTTER PETROLEUM jellypetrolatum | Petrolatum 30 g/100mL | CreamTopical | Universal Distribution Center LLC | 52000-124 | 52000-0124-35 |
| COCOA BUTTER PETROLEUM jellypetrolatum | Petrolatum 30 g/100mL | CreamTopical | Savvy Care & Cosmetics Pvt. Ltd. | 83650-104 | 83650-0104-01 |
Other NDCs under M 016
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Barrier Balmcolloidal oatmeal balm | Oatmeal 1 g/100g | SalveTopical | Tubby Todd | 73088-305 |
| Earthmed Lip Balm Pineappleallantoin | Allantoin .045 g/4.455g | SalveTopical | Earthmed LLC | 82876-988 |
| Welmedix HomeCare PRO Fragile Skin Protectantpetrolatum | Petrolatum 42 g/100g | OintmentTopical | Welmedix LLC | 24330-413 |
| Petroleumwhite petrolatum | Petrolatum 1 g/g | JellyTopical | H E B | 37808-015 |
| Pure Petrolatum Jellypetrolatum | Petrolatum 100 g/100g | JellyTopical | MY IMPORTS USA LLC | 51628-4600 |
| A and Dpetrolatum | Petrolatum 76 g/100g | OintmentTopical | Safetec of America, Inc. | 61010-4405 |
| Dermatitis Face Balmcolloidal oatmeal | Oatmeal 5 g/100g | OintmentTopical | Skinfix, Inc. | 61328-121 |
| McKesson Skin Protectantzinc oxide | Zinc oxide 50 mg/mL | CreamTopical | McKesson Medical-Surgical Inc. | 68599-5312 |
| All Over Lavender Rosemarycolloidal oat ointment | Oatmeal 1 g/100g | OintmentTopical | Tubby Todd | 73088-303 |
| XIMONTH GLP-1 Patchesglycerin | Acetyl hexapeptide-8 amide .006 mg/30mg; Rose oil .006 mg/30mg | PatchTopical | Shantou Ximonth Biotechnology Co., Ltd. | 84989-009 |
| Deep Renewal Broad Spectrumdimethicone, avobenzone, homosalate, and octisalate | Dimethicone 2 g/100g + 3 more ingredients | StickTopical | Blistex Inc | 10157-1170 |
| Skin Soothing Cream - Nut Freecolloidal oatmeal | Oatmeal 1 mg/g | CreamTopical | Allure Labs | 62742-4194 |
| Lavender Scent Petroleumwhite petroleum | Petrolatum 99.9 g/100g | JellyTopical | Jell Pharmaceuticals Pvt Ltd | 30400-514 |
| Witch Hazel | Witch hazel 842 mg/mL | LiquidTopical | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-039 |
| Eczema Dermatitis Relief Balmcolloidal oatmeal | Oatmeal 5 g/100g | CreamTopical | Skinfix, Inc. | 61328-112 |
| Dovenourishing hand sanitizer sensitive skin 8hr moisturization | Alcohol 610 mg/mL | GelTopical | Conopco Inc. d/b/a/ Unilever | 64942-1996 |
| Petroleum Skin Protectantwhite petrolatum | Petrolatum 1 g/g | JellyTopical | Pharmacy Value Alliance, LLC | 68016-069 |
| Sweet Cheeks Diaper Sprayerzinc oxide diaper paste spray | Zinc oxide 14.9 g/100g | SprayTopical | Tubby Todd | 73088-304 |
| Estrogen Estriol Cream5% estriol | Estriol 5 g/100g | CreamTopical | YITONGBADA (SHENZHEN) INTERNATIONAL TRADE CO., LTD | 83364-026 |
| Earthmed FS massage oilallantoin | Allantoin 1 g/108.48g | OilTopical | Earthmed LLC | 82876-986 |
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