ReHydration NDC 64578-0155

NDC codes

FDA NDC Directory

Product NDC (as listed)64578-0155Labeler and product segments. Claims need a package NDC.

Product NDC at billing width64578-0155Add 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 NDC	11-digit (billing)	Package	Copy
64578-0155-1	64578015501	118.2 mL in 1 BOTTLE (64578-0155-1)Marketed from Apr 5, 2018

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, kali phos, nat mur, sarsaparilla, silicea, taraxacum, thyroidinum
Active ingredients: Adenosine cyclic phosphate — 12 [hp_X]/118.2mLArabica coffee bean — 9 [hp_X]/118.2mLSus scrofa adrenal gland — 9 [hp_X]/118.2mLBos taurus hypothalamus — 12 [hp_X]/118.2mLDibasic potassium phosphate — 6 [hp_X]/118.2mLSodium chloride — 8 [hp_X]/118.2mLSarsaparilla — 4 [hp_X]/118.2mLSilicon dioxide — 12 [hp_X]/118.2mLTaraxacum officinale root — 4 [hp_X]/118.2mLThyroid, Unspecified — 12 [hp_X]/118.2mL
Dosage form: Liquid
Route: Oral
Labeler: Energetix
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Apr 5, 2018
Listing expires: Dec 31, 2026
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 64578-0155_b16a472f-65bc-4699-b752-66c1d7f17d4aSPL ID b16a472f-65bc-4699-b752-66c1d7f17d4aSPL set ID 75826e2a-737a-43ac-aed7-fad960889b88UNII E0399OZS9N, 3SW678MX72, 398IYQ16YV, S6G2NLH4Y7, CI71S98N1Z, 451W47IQ8X, 2H1576D5WG, ETJ7Z6XBU4, 9DE5YCO0RU, 0B4FDL9I6P
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

N464578015501 followed by a unit qualifier and the quantity

Package 64578-0155-01. 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 Dec 15, 2021.

Indications (excerpt from the label)

Uses Temporary relief of increased or decreased thirst, dryness, headaches.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)