Healthwise Petroleum Jelly Baby Fresh Jelly
NDC Package 71101-094-01

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

Package Information

Healthwise Petroleum Jelly Baby Fresh (white petrolatum) jellies is directions ■ change wet and soiled diapers promptly ■ cleanse diaper area and allow to dry ■ apply product liberally as often as necessary, with each diaper change, especially at bedtime or anytime when exposure to wet diapers may be prolonged. This formulation utilizes a jelly delivery system. Marketed by Veridian Healthcare, this product is identified by NDC 71101-094 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
71101-094-01
Package Description
368 g in 1 JAR
Product Code
71101-094
11-Digit Billing Format
71101009401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Healthwise Petroleum Jelly Baby Fresh
Non-Proprietary Name
White Petrolatum
Substance Name
Petrolatum
Dosage Form
Jelly - A class of gels, which are semisolid systems that consist of suspensions made up of either small inorganic particles or large organic molecules interpenetrated by a liquid--in which the structural coherent matrix contains a high portion of liquid, usually water.
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)
PETROLATUM 100 g/100g
Usage Information
Directions ■ change wet and soiled diapers promptly ■ cleanse diaper area and allow to dry ■ apply product liberally as often as necessary, with each diaper change, especially at bedtime or anytime when exposure to wet diapers may be prolonged

Regulatory & Marketing

Labeler Name
Veridian Healthcare
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-01-2025
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 71101-094-01 identifies a specific commercial package of 368 g in 1 jar of Healthwise Petroleum Jelly Baby Fresh, a human over the counter drug labeled by Veridian Healthcare. This jelly is formulated for topical use and contains 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 Veridian Healthcare on September 01, 2025. The current certification is valid through December 31, 2026.

How is this Veridian Healthcare product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71101009401. 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)
71101-094-01
11-Digit CMS (5-4-2)
71101-0094-01

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