Sun Bum Mist 45 Refreshing Sunscreen 1.35 Oz Spray
NDC Package 69039-784-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Sun Bum Mist 45 Refreshing Sunscreen 1.35 Oz (avobenzone, homosalate, octisalate, octocrylene) sprays is • shake well before use• hold container 4 to 6 inches from the skin to apply• spray liberally and spread evenly by hand 15 minutes before sun exposure• do not spray directly onto face. This formulation utilizes a spray delivery system. Marketed by Sun Bum, Llc, this product is identified by NDC 69039-784 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
69039-784-01
Package Description
40 mL in 1 BOTTLE, SPRAY
Product Code
11-Digit Billing Format
69039078401

Clinical Specifications

Proprietary Name
Sun Bum Mist 45 Refreshing Sunscreen 1.35 Oz
Non-Proprietary Name
Avobenzone, Homosalate, Octisalate, Octocrylene
Substance Name
Avobenzone; Homosalate; Octisalate; Octocrylene
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.
Usage Information
• shake well before use• hold container 4 to 6 inches from the skin to apply• spray liberally and spread evenly by hand 15 minutes before sun exposure• do not spray directly onto face. Spray on hands then apply to face.• do not apply in windy conditions• use in a well-ventilated area•Avoid inhaling or exposing others to spray• reapply: after 80 minutes of swimming or sweating• immediately after towel drying• at least every 2 hours• children under 6 months of age: ask a doctor• Sun 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 value 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-sleeved shirts, pants, hats and sunglasses • spray liberally and spread evenly by hand 15 minutes before sun exposure• do not spray directly onto face. Spray on hands then apply to face.• do not apply in windy conditions• use in a well-ventilated area•Avoid inhaling or exposing others to spray

Regulatory & Marketing

Labeler Name
Sun Bum, Llc
Product Type
Human Otc Drug
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-2025
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 69039-784-01 identifies a specific commercial package of 40 ml in 1 bottle, spray of Sun Bum Mist 45 Refreshing Sunscreen 1.35 Oz, a human over the counter drug labeled by Sun Bum, Llc. This spray 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 Sun Bum, Llc on January 01, 2025. The current certification is valid through December 31, 2026.

How is this Sun Bum, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69039078401. 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)
69039-784-01
11-Digit CMS (5-4-2)
69039-0784-01

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