Vacation Super Stick
NDC Package 80641-017-87

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

Package Information

Vacation Super (avobenzone homosalate octisalate octocrylene) sticks is helps prevent sunburnIf used as directed with other sun protection measures (see Directions), decreases the risk of skin cancer and early skin aging caused by the sun. This formulation utilizes a stick delivery system. Marketed by Vacation Inc., this product is identified by NDC 80641-017 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
80641-017-87
Package Description
20 g in 1 APPLICATOR
Product Code
80641-017
11-Digit Billing Format
80641001787

Clinical Specifications

Proprietary Name
Vacation Super
Non-Proprietary Name
Avobenzone Homosalate Octisalate Octocrylene
Substance Name
Avobenzone; Homosalate; Octisalate; Octocrylene
Dosage Form
Stick - A dosage form prepared in a relatively long and slender often cylindrical form.
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)
Usage Information
Helps prevent sunburnIf used as directed with other sun protection measures (see Directions), decreases the risk of skin cancer and early skin aging caused by the sun

Regulatory & Marketing

Labeler Name
Vacation Inc.
Product Type
Human Otc Drug
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-12-2024
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 80641-017-87 identifies a specific commercial package of 20 g in 1 applicator of Vacation Super, a human over the counter drug labeled by Vacation Inc.. This stick 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 Vacation Inc. on March 12, 2024. The current certification is valid through December 31, 2026.

How is this Vacation Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 80641001787. 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)
80641-017-87
11-Digit CMS (5-4-2)
80641-0017-87

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