Petroleum Jelly
NDC Package 52862-003-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Petroleum Jelly is uses : Temporarily protects & helps relieve minor cuts, scrapes, burns & chapped or cracked skin & lips.Helps protect from the drying effects of wind & cold weather. Marketed by International Wholesale Inc., this product is identified by NDC 52862-003 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
52862-003-01
Package Description
226 g in 1 BOTTLE
Product Code
52862-003
11-Digit Billing Format
52862000301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Petroleum Jelly Fresh Scent
Dosage Form
-
Usage Information
Uses : Temporarily protects & helps relieve minor cuts, scrapes, burns & chapped or cracked skin & lips.Helps protect from the drying effects of wind & cold weather.

Regulatory & Marketing

Labeler Name
International Wholesale Inc.
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
10-21-2010
Listing Expiration
12-31-2017
Exclude Flag
I
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 52862-003-01 identifies a specific commercial package of 226 g in 1 bottle of Petroleum Jelly Fresh Scent, labeled by International Wholesale Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by International Wholesale Inc. on October 21, 2010. The current certification is valid through December 31, 2017.

How is this International Wholesale Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52862000301. 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)
52862-003-01
11-Digit CMS (5-4-2)
52862-0003-01

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