Over-the-counter drug · OTC MONOGRAPH DRUG
Dermatone SPF 30 Bass Pro Shop NDC 54414-109
avobenzone, homosalate, octinoxate, octocrylene, dimethicone · Avobenzone 30 mg/g + 4 more ingredients · Stick · Topical · Dermatone
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 54414-109-01 | 54414010901 | 4.2 g in 1 CONTAINER (54414-109-01)Marketed from Dec 1, 2025 |
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)
- Dermatone SPF 30 Bass Pro Shop
- Generic name (nonproprietary)
- avobenzone, homosalate, octinoxate, octocrylene, dimethicone
- Active ingredients
- Avobenzone — 30 mg/gHomosalate — 82 mg/gOctinoxate — 75 mg/gOctocrylene — 50 mg/gDimethicone 100 — 400 mg/g
- Dosage form
- Stick
- Route
- Topical
- Labeler
- Dermatone
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 352
- Marketing start
- Listing expires
- Identifiers
- Product ID 54414-109_461b59a7-37c4-bbd2-e063-6394a90a8126SPL ID 461b59a7-37c4-bbd2-e063-6394a90a8126SPL set ID fa25d60b-ca1c-47c9-aafa-2e337bcfdd91UNII G63QQF2NOX, V06SV4M95S, 4Y5P7MUD51, 5A68WGF6WM, RO266O364U
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
N454414010901followed by a unit qualifier and the quantityPackage 54414-0109-01. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under 352
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 |
|---|---|---|---|---|
| Sunfrog Ultra SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate, petroleum jelly | Octinoxate 7.5 mg/g + 4 more ingredients | StickTopical | OraLabs | 63645-165 |
| Tea Tree Lip Balm, SPF 15octinoxate, oxybenzone | Octinoxate 20 mg/g; Oxybenzone 45 mg/g | StickTopical | OraLabs | 63645-176 |
| SPF 50 Sunscreen Stickzinc oxide | Zinc oxide 200 mg/g | StickTopical | OraLabs | 63645-178 |
| SPF 15 - Zinc Oxide Lip Balmzinc oxide | Zinc oxide 100 mg/g | StickTopical | OraLabs | 63645-182 |
| ChapIce SPF 30 Lip Balmavobenzone, octisalate, homosalate, petrolatum | Octisalate 50 mg/g + 3 more ingredients | StickTopical | OraLabs | 63645-180 |
| OraLabs SPF 15 Lip Balmavobenzone, octinoxate, petrolatum | Octinoxate 75 mg/g + 2 more ingredients | StickTopical | OraLabs | 63645-181 |
| SPF 30 Sunscreen Stickavobenzone, homosalate, octisalate, octocrylene | Avobenzone 30 mg/g + 3 more ingredients | StickTopical | OraLabs | 63645-329 |
| SPF 45 - Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum | Avobenzone 30 mg/g + 4 more ingredients | StickTopical | OraLabs | 63645-183 |
| SPF 30 - Zinc Oxide Lip Balmzinc oxide | Zinc oxide 150 mg/g | StickTopical | OraLabs | 63645-184 |
| ChapIce SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate | Octinoxate 7.5 mg/g + 3 more ingredients | StickTopical | OraLabs | 63645-164 |
| ChapIce Moisture SPF 15 Lip Balmoxybenzone, octinoxate, petrolatum | Octinoxate 7.5 mg/g + 2 more ingredients | StickTopical | OraLabs | 63645-140 |
| ChapIce SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate | Octinoxate 7.5 mg/g + 3 more ingredients | StickTopical | OraLabs | 63645-163 |
| Panama Jack SPF 45 Flavorless Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum | Avobenzone 30 mg/g + 4 more ingredients | StickTopical | Panama Jack | 87449-200 |
| Panama Jack SPF 45 Mango Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum | Avobenzone 30 mg/g + 4 more ingredients | StickTopical | Panama Jack | 87449-201 |
| Panama Jack SPF 45 Dreamsicle Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum | Avobenzone 30 mg/g + 4 more ingredients | StickTopical | Panama Jack | 87449-202 |
| Panama Jack SPF 45 Tropical Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum | Avobenzone 30 mg/g + 4 more ingredients | StickTopical | Panama Jack | 87449-203 |
| Panama Jack SPF 45 Vanilla Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatum | Avobenzone 30 mg/g + 4 more ingredients | StickTopical | Panama Jack | 87449-204 |
| Equate SPF 15 Lip Balmavobenzone, octinoxate, petrolatum | Octinoxate 75 mg/g + 2 more ingredients | StickTopical | Walmart | 79903-121 |
| SPF 30 - Zinc Oxide Lip Balmzinc oxide | Zinc oxide 150 mg/g | StickTopical | Dermatone | 54414-107 |
| Dermatone SPF 50 Sunscreen Stickzinc oxide | Zinc oxide 200 mg/g | StickTopical | Dermatone | 54414-108 |