NDC codes

FDA NDC Directory
Product NDC (as listed)79903-183Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0183Add 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
79903-183-207990301832079903018320566 g in 1 BOTTLE, PLASTIC (79903-183-20)Marketed from May 1, 2023

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)
Petroleum Jelly
Generic name (nonproprietary)
white petrolatum
Active ingredients
White petrolatum — 100 g/100g
Dosage form
Jelly
Route
Topical
Labeler
Walmart INCNDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 79903-183_50f04deb-f075-6047-e063-6394a90a8572SPL ID 50f04deb-f075-6047-e063-6394a90a8572SPL set ID f76ceecc-ef11-3839-e053-6394a90a8d4aRxCUI 204754UNII B6E5W8RQJ4UPC 0194346098873

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

N479903018320 followed by a unit qualifier and the quantity

Package 79903-0183-20. 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 79903-183

What is NDC 79903-183?
79903-183 is the product NDC for Petroleum Jelly (white petrolatum), White petrolatum 100 g/100g jelly, listed with the FDA by Walmart INC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Petroleum Jelly (White Petrolatum).
What is the active ingredient?
White petrolatum.
Who is the labeler?
Walmart INC, NDC labeler code 79903. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Petroleum Jelly?
12 other product NDCs are listed under this name. See all Petroleum Jelly 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 Petroleum Jelly NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Petroleum Jellywhite petrolatumWhite petrolatum 1 g/gJellyTopicalAldermed Inc.87236-00987236-0009-0187236-0009-0487236-0009-05+4 more
Petroleum Jellywhite petrolatumPetrolatum 1 g/gJellyTopicalKROGER41226-81741226-0817-68
Petroleum Jellybaby petroleum jellyWhite petrolatum 100 g/100gJellyTopicalNeilMed Pharmaceuticals Inc.13709-33713709-0337-01
Petroleum JellyWhite petrolatum 100 g/100gJellyTopicalNeilMed Pharmaceuticals Inc.13709-33113709-0331-0113709-0331-02
Petroleum Jellywhite petrolatumWhite petrolatum 100 g/100gJellyTopicalWALGREENS0363-180400363-1804-07
Petroleum Jellywhite petrolatum jellyWhite petrolatum 100 g/100gJellyTopicalWALGREENS0363-180100363-1801-0600363-1801-0800363-1801-68
Petroleum Jellywhite petrolatumPetrolatum 1 g/gJellyTopicalWAL-MART STORES INC79903-80179903-0801-68
Petroleum JellypetrolatumPetrolatum 100 g/100gJellyTopicalWalgreens0363-072100363-0721-13
PETROLEUM jellypetrolatumPetrolatum 30 g/100mLCreamTopicalUniversal Distribution Center LLC52000-12352000-0123-34
Petroleum Jellywhite petrolatumPetrolatum 99 g/100gCreamTopicalRejoice International Inc.57337-07557337-0075-0157337-0075-0257337-0075-03+1 more

All 13 Petroleum Jelly NDCs

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
Barrier Balmcolloidal oatmeal balmOatmeal 1 g/100gSalveTopicalTubby Todd73088-305
Earthmed Lip Balm PineappleallantoinAllantoin .045 g/4.455gSalveTopicalEarthmed LLC82876-988
Welmedix HomeCare PRO Fragile Skin ProtectantpetrolatumPetrolatum 42 g/100gOintmentTopicalWelmedix LLC24330-413
Petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalH E B37808-015
Pure Petrolatum JellypetrolatumPetrolatum 100 g/100gJellyTopicalMY IMPORTS USA LLC51628-4600
A and DpetrolatumPetrolatum 76 g/100gOintmentTopicalSafetec of America, Inc.61010-4405
Dermatitis Face Balmcolloidal oatmealOatmeal 5 g/100gOintmentTopicalSkinfix, Inc.61328-121
McKesson Skin Protectantzinc oxideZinc oxide 50 mg/mLCreamTopicalMcKesson Medical-Surgical Inc.68599-5312
All Over Lavender Rosemarycolloidal oat ointmentOatmeal 1 g/100gOintmentTopicalTubby Todd73088-303
XIMONTH GLP-1 PatchesglycerinAcetyl hexapeptide-8 amide .006 mg/30mg; Rose oil .006 mg/30mgPatchTopicalShantou Ximonth Biotechnology Co., Ltd.84989-009
Deep Renewal Broad Spectrumdimethicone, avobenzone, homosalate, and octisalateDimethicone 2 g/100g + 3 more ingredientsStickTopicalBlistex Inc10157-1170
Skin Soothing Cream - Nut Freecolloidal oatmealOatmeal 1 mg/gCreamTopicalAllure Labs62742-4194
Lavender Scent Petroleumwhite petroleumPetrolatum 99.9 g/100gJellyTopicalJell Pharmaceuticals Pvt Ltd30400-514
Witch HazelWitch hazel 842 mg/mLLiquidTopicalEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-039
Eczema Dermatitis Relief Balmcolloidal oatmealOatmeal 5 g/100gCreamTopicalSkinfix, Inc.61328-112
Dovenourishing hand sanitizer sensitive skin 8hr moisturizationAlcohol 610 mg/mLGelTopicalConopco Inc. d/b/a/ Unilever64942-1996
Petroleum Skin Protectantwhite petrolatumPetrolatum 1 g/gJellyTopicalPharmacy Value Alliance, LLC68016-069
Sweet Cheeks Diaper Sprayerzinc oxide diaper paste sprayZinc oxide 14.9 g/100gSprayTopicalTubby Todd73088-304
Estrogen Estriol Cream5% estriolEstriol 5 g/100gCreamTopicalYITONGBADA (SHENZHEN) INTERNATIONAL TRADE CO., LTD83364-026
Earthmed FS massage oilallantoinAllantoin 1 g/108.48gOilTopicalEarthmed LLC82876-986

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