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  5. NDC Package Code: 0904-6488-38 Major Lubrifresh Pm

NDC Package 0904-6488-38 Major Lubrifresh Pm

Mineral Oil And White Petrolatum Ointment Ophthalmic - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0904-6488-38
Package Description:
1 TUBE in 1 CARTON / 3.5 g in 1 TUBE
Product Code:
0904-6488
Proprietary Name:
Major Lubrifresh Pm
Non-Proprietary Name:
Mineral Oil And White Petrolatum
Substance Name:
Mineral Oil; Petrolatum
Usage Information:
Directionspull down the lower lid of the affected eye(s) and apply a small amount (1/4") of ointment to the inside of eyelid
11-Digit NDC Billing Format:
00904648838
Billing Unit:
GM - Billing unit of "gram" is used when a product is measured by its weight.
NDC to RxNorm Crosswalk:
3.5 GM
NDC to RxNorm Crosswalk:
  • RxCUI: 1086613 - LubriFresh P.M. 15 % / 83 % Ophthalmic Ointment
  • RxCUI: 1086613 - mineral oil 0.15 MG/MG / petrolatum 0.83 MG/MG Ophthalmic Ointment [Lubrifresh P.M.]
  • RxCUI: 1086613 - Lubrifresh PM (mineral oil 15 % / white petrolatum 83 % ) Ophthalmic Ointment
  • RxCUI: 746083 - mineral oil 15 % / petrolatum 83 % Ophthalmic Ointment
  • RxCUI: 746083 - mineral oil 0.15 MG/MG / petrolatum 0.83 MG/MG Ophthalmic Ointment
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Major Pharmaceuticals
    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(s):
  • Ophthalmic - Administration to the external eye.
    • Active Ingredient(s):
  • MINERAL OIL 150 mg/g
  • PETROLATUM 830 mg/g
    • Sample Package:
    No
    FDA Application Number:
    M018
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    09-11-2015
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 0904-6488-38?

    The NDC Packaged Code 0904-6488-38 is assigned to a package of 1 tube in 1 carton / 3.5 g in 1 tube of Major Lubrifresh Pm, a human over the counter drug labeled by Major Pharmaceuticals. The product's dosage form is ointment and is administered via ophthalmic form.

    Is NDC 0904-6488 included in the NDC Directory?

    Yes, Major Lubrifresh Pm with product code 0904-6488 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on September 11, 2015 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0904-6488-38?

    The contents of this package are billed per "gm or gram", products billed per gram are products measured by weight. The calculated billable units for this package is 3.5.

    What is the 11-digit format for NDC 0904-6488-38?

    The 11-digit format is 00904648838. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20904-6488-385-4-200904-6488-38