NDC codes

FDA NDC Directory
Product NDC (as listed)54414-109Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54414-0109Add 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
54414-109-01544140109014.2 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

N454414010901 followed by a unit qualifier and the quantity

Package 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.

FDA NDC Directory listings under 352
ProductStrengthForm · routeLabelerProduct NDC
Sunfrog Ultra SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalate, petroleum jellyOctinoxate 7.5 mg/g + 4 more ingredientsStickTopicalOraLabs63645-165
Tea Tree Lip Balm, SPF 15octinoxate, oxybenzoneOctinoxate 20 mg/g; Oxybenzone 45 mg/gStickTopicalOraLabs63645-176
SPF 50 Sunscreen Stickzinc oxideZinc oxide 200 mg/gStickTopicalOraLabs63645-178
SPF 15 - Zinc Oxide Lip Balmzinc oxideZinc oxide 100 mg/gStickTopicalOraLabs63645-182
ChapIce SPF 30 Lip Balmavobenzone, octisalate, homosalate, petrolatumOctisalate 50 mg/g + 3 more ingredientsStickTopicalOraLabs63645-180
OraLabs SPF 15 Lip Balmavobenzone, octinoxate, petrolatumOctinoxate 75 mg/g + 2 more ingredientsStickTopicalOraLabs63645-181
SPF 30 Sunscreen Stickavobenzone, homosalate, octisalate, octocryleneAvobenzone 30 mg/g + 3 more ingredientsStickTopicalOraLabs63645-329
SPF 45 - Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatumAvobenzone 30 mg/g + 4 more ingredientsStickTopicalOraLabs63645-183
SPF 30 - Zinc Oxide Lip Balmzinc oxideZinc oxide 150 mg/gStickTopicalOraLabs63645-184
ChapIce SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalateOctinoxate 7.5 mg/g + 3 more ingredientsStickTopicalOraLabs63645-164
ChapIce Moisture SPF 15 Lip Balmoxybenzone, octinoxate, petrolatumOctinoxate 7.5 mg/g + 2 more ingredientsStickTopicalOraLabs63645-140
ChapIce SPF 30 Lip Balmoctinoxate, octocrylene, oxybenzone, octisalateOctinoxate 7.5 mg/g + 3 more ingredientsStickTopicalOraLabs63645-163
Panama Jack SPF 45 Flavorless Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatumAvobenzone 30 mg/g + 4 more ingredientsStickTopicalPanama Jack87449-200
Panama Jack SPF 45 Mango Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatumAvobenzone 30 mg/g + 4 more ingredientsStickTopicalPanama Jack87449-201
Panama Jack SPF 45 Dreamsicle Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatumAvobenzone 30 mg/g + 4 more ingredientsStickTopicalPanama Jack87449-202
Panama Jack SPF 45 Tropical Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatumAvobenzone 30 mg/g + 4 more ingredientsStickTopicalPanama Jack87449-203
Panama Jack SPF 45 Vanilla Lip Balmavobenzone, homosalate, octinoxate, octisalate, petrolatumAvobenzone 30 mg/g + 4 more ingredientsStickTopicalPanama Jack87449-204
Equate SPF 15 Lip Balmavobenzone, octinoxate, petrolatumOctinoxate 75 mg/g + 2 more ingredientsStickTopicalWalmart79903-121
SPF 30 - Zinc Oxide Lip Balmzinc oxideZinc oxide 150 mg/gStickTopicalDermatone54414-107
Dermatone SPF 50 Sunscreen Stickzinc oxideZinc oxide 200 mg/gStickTopicalDermatone54414-108

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