Ulta Beauty Tinted Moisturizer Cream Spf 24 Medium Cream
NDC Package 68577-034-00

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

Package Information

Ulta Beauty Tinted Moisturizer Cream Spf 24 Medium (avobenzone, homosalate, octisalate, octocrylene) cream is apply 15 minutes before sun exposurereapply: after 80 minutes of swimming or sweating immediately after towel dryingat least every 2 hoursSun Protection Measures. This formulation utilizes a cream delivery system. Marketed by Cosmax Usa, Corporation, this product is identified by NDC 68577-034 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
68577-034-00
Package Description
35 mL in 1 TUBE
Product Code
68577-034
11-Digit Billing Format
68577003400

Clinical Specifications

Proprietary Name
Ulta Beauty Tinted Moisturizer Cream Spf 24 Medium
Non-Proprietary Name
Avobenzone, Homosalate, Octisalate, Octocrylene
Substance Name
Avobenzone; Homosalate; Octisalate; Octocrylene
Dosage Form
Cream - An emulsion, semisolid3 dosage form, usually containing > 20% water and volatiles5 and/or < 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 15 minutes before sun exposurereapply: after 80 minutes of swimming or sweating immediately after towel dryingat least every 2 hoursSun Protection Measures. Spending time in the sun increases your risk of skin cancer and early skin aging. To decrease this risk, regularly use a sunscreen with a broad spectrum SPF of 15 or higher and other sun protection measures including:limit time in the sun, especially from 10 a.m. - 2 p.m.wear long-sleeve shirts, pants, hats, and sunglasses children under 6 months: Ask a doctor

Regulatory & Marketing

Labeler Name
Cosmax Usa, Corporation
Product Type
Human Otc Drug
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-01-2021
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 68577-034-00 identifies a specific commercial package of 35 ml in 1 tube of Ulta Beauty Tinted Moisturizer Cream Spf 24 Medium, a human over the counter drug labeled by Cosmax Usa, Corporation. This cream is formulated for topical use and contains avobenzone; homosalate; octisalate; octocrylene 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 Cosmax Usa, Corporation on June 01, 2021. The current certification is valid through December 31, 2026.

How is this Cosmax Usa, Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68577003400. 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)
68577-034-00
11-Digit CMS (5-4-2)
68577-0034-00

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