Rehydrate NDC 54638-0003

NDC codes

FDA NDC Directory

Product NDC (as listed)54638-0003Labeler and product segments. Claims need a package NDC.

Product NDC at billing width54638-0003Add 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
54638-0003-1	54638000301	60 mL in 1 BOTTLE, DROPPER (54638-0003-1)Marketed from Jul 7, 2016

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): Rehydrate
Generic name (nonproprietary): avena sativa, equisetum hyemale, hypericum perforatum, ulmus fulva, glycyrrhiza glabra, silicea, pueraria lobata, carlsbad aqua, adenosinum triphosphoricum dinatrum, germanium sesquioxide, hydrogen, oxygen, wiesbaden
Active ingredients: Avena sativa flowering top — 3 [hp_X]/mLEquisetum hyemale — 4 [hp_X]/mLHypericum perforatum — 6 [hp_X]/mLUlmus rubra bark — 6 [hp_X]/mLGlycyrrhiza glabra — 12 [hp_X]/mLSilicon dioxide — 12 [hp_X]/mLPueraria montana var. Lobata root — 8 [hp_C]/mLWater — 12 [hp_C]/mLAdenosine triphosphate disodium — 30 [hp_C]/mLGermanium sesquioxide — 30 [hp_C]/mLHydrogen — 30 [hp_C]/mLOxygen — 30 [hp_C]/mL
Dosage form: Liquid
Route: Oral
Labeler: ParaDocs All Natural, Inc.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: Feb 12, 2015
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)
Identifiers: Product ID 54638-0003_2ac74866-2180-4655-8dd3-9f23e1eaed3dSPL ID 2ac74866-2180-4655-8dd3-9f23e1eaed3dSPL set ID 648fab10-c46b-420f-a42c-6642009d83fbUNII MA9CQJ3F7F, 59677RXH25, XK4IUX8MNB, 91QY4PXU8Q, 2788Z9758H, ETJ7Z6XBU4, PET93F4I3C, 059QF0KO0R, 5L51B4DR1G, 96WE91N25T, 7YNJ3PO35Z, S88TT14065
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

N454638000301 followed by a unit qualifier and the quantity

Package 54638-0003-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.