Eltamd Laser Balm Ointment
NDC Package 72043-2277-4

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

Package Information

Eltamd Laser Balm (petrolatum skin protectant) ointment is apply as needed or as directd by physician.  For best results, apply liberally to moist skin. This formulation utilizes a ointment delivery system. Marketed by Cp Skin Health Group, Inc, this product is identified by NDC 72043-2277 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
72043-2277-4
Package Description
108 g in 1 JAR
Product Code
72043-2277
11-Digit Billing Format
72043227704

Clinical Specifications

Proprietary Name
Eltamd Laser Balm
Non-Proprietary Name
Petrolatum Skin Protectant
Substance Name
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)
PETROLATUM 600 g/1000g
Usage Information
Apply as needed or as directd by physician.  For best results, apply liberally to moist skin. Apply as needed or as directd by physician.  For best results, apply liberally to moist skin.

Regulatory & Marketing

Labeler Name
Cp Skin Health Group, Inc
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-10-2018
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (72043-2277). Click a package code to view its specific billing and regulatory data.

72043-2277-5
5 g in 1 PACKET

* 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 72043-2277-4 identifies a specific commercial package of 108 g in 1 jar of Eltamd Laser Balm, a human over the counter drug labeled by Cp Skin Health Group, Inc. This ointment 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 Cp Skin Health Group, Inc on January 10, 2018. The current certification is valid through December 31, 2026.

How is this Cp Skin Health Group, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72043227704. 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 (5-4-1)
72043-2277-4
11-Digit CMS (5-4-2)
72043-2277-04

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