Tea Tree Lip Balm, SPF 15 NDC 63645-176

NDC codes

FDA NDC Directory

Product NDC (as listed)63645-176Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63645-0176Add 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 NDC	11-digit (billing)	Package	Copy
63645-176-03	63645017603	4 g in 1 CONTAINER (63645-176-03)Marketed from Oct 9, 2017

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): Tea Tree Lip Balm, SPF 15
Generic name (nonproprietary): octinoxate, oxybenzone
Active ingredients: Octinoxate — 20 mg/gOxybenzone — 45 mg/g
Dosage form: Stick
Route: Topical
Labeler: OraLabs
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication 352
Marketing start: Oct 9, 2017
Listing expires: Dec 31, 2026
Identifiers: Product ID 63645-176_33dd4841-ac64-5d7a-e063-6394a90a4b98SPL ID 33dd4841-ac64-5d7a-e063-6394a90a4b98SPL set ID ce11b043-0290-4c18-afbc-df4e49656c31UNII 4Y5P7MUD51, 95OOS7VE0Y

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

N463645017603 followed by a unit qualifier and the quantity

Package 63645-0176-03. 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 Apr 28, 2025.

Indications (excerpt from the label)

Uses Prevents Sunburns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
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
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
Dermatone SPF 30 Bass Pro Shopavobenzone, homosalate, octinoxate, octocrylene, dimethicone	Avobenzone 30 mg/g + 4 more ingredients	StickTopical	Dermatone	54414-109
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