Jack Black Intensive Therapy Lip Balm Mango Chili Lime Ointment
NDC Package 66738-063-25

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

Package Information

Jack Black Intensive Therapy Lip Balm Mango Chili Lime (avobenzone, octinoxate lip balm sunscreen) ointment is apply liberally 15 minutes before sun exposure and as needed. This formulation utilizes a ointment delivery system. Marketed by Jack Black, Llc, this product is identified by NDC 66738-063 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
66738-063-25
Package Description
7 g in 1 TUBE
Product Code
66738-063
11-Digit Billing Format
66738006325

Clinical Specifications

Proprietary Name
Jack Black Intensive Therapy Lip Balm Mango Chili Lime
Non-Proprietary Name
Avobenzone, Octinoxate Lip Balm Sunscreen
Substance Name
Avobenzone; Octinoxate; 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)
Usage Information
Apply liberally 15 minutes before sun exposure and as needed. Children under 6 months: ask a doctor.

Regulatory & Marketing

Labeler Name
Jack Black, Llc
Product Type
Human Otc Drug
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-03-2020
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 66738-063-25 identifies a specific commercial package of 7 g in 1 tube of Jack Black Intensive Therapy Lip Balm Mango Chili Lime, a human over the counter drug labeled by Jack Black, Llc. This ointment is formulated for topical use and contains avobenzone; octinoxate; 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 Jack Black, Llc on August 03, 2020. The current certification is valid through December 31, 2026.

How is this Jack Black, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66738006325. 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)
66738-063-25
11-Digit CMS (5-4-2)
66738-0063-25

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