Sunscreen Spf 30 Spray
NDC Package 49757-012-06

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

Package Information

Sunscreen Spf 30 (avobenzone 3% , homosalate 10%, octisalate 5%) sprays is  ■ apply liberally 15 minutes before sun exposure. This formulation utilizes a spray delivery system. Marketed by Rocky Mountain, this product is identified by NDC 49757-012 and is authorized under FDA application M20.

Identification & Billing

NDC Package Code
49757-012-06
Package Description
170 g in 1 CONTAINER
Product Code
49757-012
11-Digit Billing Format
49757001206

Clinical Specifications

Proprietary Name
Sunscreen Spf 30
Non-Proprietary Name
Avobenzone 3% , Homosalate 10%, Octisalate 5%
Substance Name
Avobenzone; Homosalate; Octisalate
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
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)
Usage Information
 ■ apply liberally 15 minutes before sun exposure. Reapply: ■ after 80 minutes of swimming or sweating ■ Immediately after towel drying ■ at least every 2 hours. Sun protectionmeasures:Spending time In the sun Increases your risk of skin cancer and early skin aging. To decrease risk, regularly use a sunscreen with broad spectrum SPF of 15 or higher and other sun protection measures lncludlng: ■ limit time In the sun, especlally from 10am to 2pm ■ wear long-sleeved shirts, pants, hats, and sunglasses ■ children under 6 months: ask a doctor ■ do not spray directly Into face. Spray on hands then apply to face ■ use In well-ventilated area.

Regulatory & Marketing

Labeler Name
Rocky Mountain
Product Type
Human Otc Drug
FDA Application #
M20
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-21-2025
Listing Expiration
12-31-2027
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 49757-012-06 identifies a specific commercial package of 170 g in 1 container of Sunscreen Spf 30, a human over the counter drug labeled by Rocky Mountain. This spray is formulated for topical use and contains avobenzone; homosalate; octisalate 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 Rocky Mountain on August 21, 2025. The current certification is valid through December 31, 2027.

How is this Rocky Mountain product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49757001206. 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 (5-3-2)
49757-012-06
11-Digit CMS (5-4-2)
49757-0012-06

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