Skin Protectant Petrolatum
NDC Package 69375-004-54

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.

Skin Protectant Petrolatum is apply as needed. Marketed by Nationwide Pharmaceutical, Llc, this product is identified by NDC 69375-004 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
69375-004-54
Package Description
454 g in 1 JAR
Product Code
69375-004
11-Digit Billing Format
69375000454
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
454 GM
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Skin Protectant Petrolatum
Dosage Form
-
Usage Information
Apply as needed.

Regulatory & Marketing

Labeler Name
Nationwide Pharmaceutical, Llc
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
03-01-2021
Listing Expiration
12-31-2022
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 69375-004-54 identifies a specific commercial package of 454 g in 1 jar of Skin Protectant Petrolatum, labeled by Nationwide Pharmaceutical, Llc. This product is billed per "GM" gram and contains an estimated amount of 454 billable units per package. 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 Nationwide Pharmaceutical, Llc on March 01, 2021. The current certification is valid through December 31, 2022.

How is this Nationwide Pharmaceutical, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69375000454. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 454 total billable units per package. 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)
69375-004-54
11-Digit CMS (5-4-2)
69375-0004-54

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