NDC Package 87169-001-01 Everprotex

White Petrolatum Skin Protectant Paste Paste Topical - View Billable Units, 11-Digit Format, RxNorm

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
87169-001-01
Package Description:
57 g in 1 JAR
Product Code:
Proprietary Name:
Everprotex
Non-Proprietary Name:
White Petrolatum Skin Protectant Paste
Substance Name:
White Petrolatum
11-Digit NDC Billing Format:
87169000101
Product Type:
Human Otc Drug
Labeler Name:
Rafael Management Inc
Dosage Form:
Paste - A semisolid3 dosage form, containing a large proportion (20 – 50%) of solids finely dispersed in a fatty vehicle. This dosage form is generally for external application to the skin or mucous membranes.
Administration Route(s):
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):
Sample Package:
No
FDA Application Number:
M016
Marketing Category:
OTC MONOGRAPH DRUG -
Start Marketing Date:
10-24-2025
Listing Expiration Date:
12-31-2026
Exclude Flag:
N
Code Structure:

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.

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Frequently Asked Questions

What is NDC 87169-001-01?

The NDC Packaged Code 87169-001-01 is assigned to a package of 57 g in 1 jar of Everprotex, a human over the counter drug labeled by Rafael Management Inc. The product's dosage form is paste and is administered via topical form.

Is NDC 87169-001 included in the NDC Directory?

Yes, Everprotex with product code 87169-001 is active and included in the NDC Directory. The product was first marketed by Rafael Management Inc on October 24, 2025 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 87169-001-01?

The 11-digit format is 87169000101. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
5-3-287169-001-015-4-287169-0001-01