NDC codes

FDA NDC Directory
Product NDC (as listed)64578-0090Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64578-0090Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
64578-0090-26457800900259.1 mL in 1 BOTTLE, DROPPER (64578-0090-2)Marketed from Jan 31, 2017

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
ReHydration
Generic name (nonproprietary)
adenosinum cyclophosphoricum, coffea cruda, glandula suprarenalis suis, hypothalamus (bovine), kali phosphoricum, natrum muriaticum, sarsaparilla, silicea, taraxacum officinale, thyroidinum (bovine)
Active ingredients
Adenosine cyclic phosphate — 12 [hp_X]/mLArabica coffee bean — 9 [hp_X]/mLSus scrofa adrenal gland — 9 [hp_X]/mLBos taurus hypothalamus — 12 [hp_X]/mLPotassium phosphate, Dibasic — 6 [hp_X]/mLSodium chloride — 8 [hp_X]/mLSarsaparilla — 4 [hp_X]/mLSilicon dioxide — 12 1/mLTaraxacum officinale — 4 [hp_X]/mLThyroid, Bovine — 12 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Dietary Proteins (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 64578-0090_8f74c592-87fa-42b0-968b-fd0260e4c9b0SPL ID 8f74c592-87fa-42b0-968b-fd0260e4c9b0SPL set ID 9883c502-9782-451e-9eec-c54d7b054f31UNII E0399OZS9N, 3SW678MX72, 398IYQ16YV, S6G2NLH4Y7, CI71S98N1Z, 451W47IQ8X, 2H1576D5WG, ETJ7Z6XBU4, 39981FM375, MN18OTN73WUPC 0364578030938
Pharmacologic class
Non-Standardized Food Allergenic Extract; Non-Standardized Plant Allergenic Extract

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N464578009002 followed by a unit qualifier and the quantity

Package 64578-0090-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

USES: Temporary relief of increased or decreased thirst, dryness, headaches, low energy, mental sluggishness.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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