Dr. Mom Butt Balm Ointment
NDC Package 0496-0590-02

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Dr. Mom Butt Balm (dimethicone petrolatum) ointment is apply as needed. This formulation utilizes a ointment delivery system. Marketed by Ferndale Laboratories, Inc., this product is identified by NDC 0496-0590 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
0496-0590-02
Package Description
70 g in 1 TUBE
Product Code
0496-0590
11-Digit Billing Format
00496059002
RxNorm Crosswalk
  • RxCUI: 2627302 - dimethicone 28 % / petrolatum 48 % Topical Ointment
  • RxCUI: 2627302 - dimethicone 0.28 MG/MG / petrolatum 0.48 MG/MG Topical Ointment

Clinical Specifications

Proprietary Name
Dr. Mom Butt Balm
Non-Proprietary Name
Dimethicone Petrolatum
Substance Name
Dimethicone; White Petrolatum
Dosage Form
Ointment - A semisolid3 dosage form, usually containing <20% water and volatiles5 and >50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Pharmacologic Class
Skin Barrier Activity - [PE] (Physiologic Effect)
Usage Information
Apply as needed

Regulatory & Marketing

Labeler Name
Ferndale Laboratories, Inc.
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-07-2022
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0496-0590-02 identifies a specific commercial package of 70 g in 1 tube of Dr. Mom Butt Balm, a human over the counter drug labeled by Ferndale Laboratories, Inc.. This ointment is formulated for topical use and contains dimethicone; white petrolatum as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Ferndale Laboratories, Inc. on November 07, 2022. The current certification is valid through December 31, 2026.

How is this Ferndale Laboratories, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00496059002. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0496-0590-02
11-Digit CMS (5-4-2)
00496-0590-02

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.