Drs. Pharmacy Creamy Cocoa Butter Petroleum Jelly Cream
NDC Package 80489-902-01

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

Package Information

Drs. Pharmacy Creamy Cocoa Butter Petroleum Jelly (white petrolatum) cream is apply as needed. This formulation utilizes a cream delivery system. Marketed by Ol Pharma Tech, Llc Drs Pharmacy, this product is identified by NDC 80489-902 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
80489-902-01
Package Description
85 g in 1 TUBE
Product Code
80489-902
11-Digit Billing Format
80489090201

Clinical Specifications

Proprietary Name
Drs. Pharmacy Creamy Cocoa Butter Petroleum Jelly
Non-Proprietary Name
White Petrolatum
Substance Name
White Petrolatum
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)
WHITE PETROLATUM 30 g/100g
Usage Information
Apply as needed.

Regulatory & Marketing

Labeler Name
Ol Pharma Tech, Llc Drs Pharmacy
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-16-2026
Listing Expiration
12-31-2027
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 80489-902-01 identifies a specific commercial package of 85 g in 1 tube of Drs. Pharmacy Creamy Cocoa Butter Petroleum Jelly, a human over the counter drug labeled by Ol Pharma Tech, Llc Drs Pharmacy. This cream is formulated for topical use and contains white 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 Ol Pharma Tech, Llc Drs Pharmacy on June 16, 2026. The current certification is valid through December 31, 2027.

How is this Ol Pharma Tech, Llc Drs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 80489090201. 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)
80489-902-01
11-Digit CMS (5-4-2)
80489-0902-01

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