NDC codes

FDA NDC Directory
Product NDC (as listed)64616-104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64616-0104Add 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
64616-104-02646160104026461601040259 mL in 1 BOTTLE, DROPPER (64616-104-02)Marketed from Apr 8, 2013

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
RPT-Sys
Generic name (nonproprietary)
emotional rebalance
Active ingredients
Toxicodendron pubescens leaf — 10 [hp_X]/mLSilicon dioxide — 10 [hp_X]/mLThyroid, Unspecified — 6 [hp_C]/mLTrillium erectum root — 3 [hp_X]/mLApocynum cannabinum root — 10 [hp_X]/mLAsafetida — 6 [hp_X]/mLSodium borate — 7 [hp_X]/mLEucalyptus globulus leaf — 7 [hp_X]/mLGentiana lutea root — 7 [hp_X]/mLStrychnos ignatii seed — 10 [hp_X]/mLWood creosote — 8 [hp_X]/mLLathyrus sativas seed — 20 [hp_X]/mLEgg phospholipids — 20 [hp_X]/mLLycopodium clavatum spore — 7 [hp_X]/mLNutmeg — 7 [hp_X]/mLOxalic acid dihydrate — 10 [hp_X]/mLPhosphoric acid — 8 [hp_X]/mLSus scrofa pituitary gland — 6 [hp_C]/mLPlatinum — 10 [hp_X]/mL
Dosage form
Liquid
Route
Oral
Labeler
Vitality Works, Inc.NDC labeler code 64616
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)Food Additives (Chemical structure)Increased Histamine Release (Physiologic effect)Plant Proteins (Chemical structure)Seed Storage Proteins (Chemical structure)
Identifiers
Product ID 64616-104_462f5aa4-db68-26dd-e063-6294a90a4030SPL ID 462f5aa4-db68-26dd-e063-6294a90a4030SPL set ID 0e8768fe-c2ba-41e9-93ac-c142fae6e879UNII 6IO182RP7A, ETJ7Z6XBU4, 0B4FDL9I6P, AHW6F0T2X0, 2F92409L9Z, W9FZA51AS1, 91MBZ8H3QO, S546YLW6E6, S72O3284MS, 1NM3M2487K, 3JYG22FD73, 8VP54WOT4I, 1Z74184RGV, C88X29Y479, AEE24M3MQ9, 0K2L2IJ59O, E4GA8884NN, L0PFEMQ1DT, 49DFR088MY
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

N464616010402 followed by a unit qualifier and the quantity

Package 64616-0104-02. 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)

RPT-Sys For the temporary relief of anxiety, confusion, memory loss, and depression.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 64616-104

What is NDC 64616-104?
64616-104 is the product NDC for RPT-Sys (emotional rebalance), Toxicodendron pubescens leaf 10 [hp_X]/mL + 18 more ingredients liquid, listed with the FDA by Vitality Works, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
RPT-Sys (Emotional Rebalance).
What is the active ingredient?
Toxicodendron pubescens leaf, Silicon dioxide, Thyroid, Unspecified, Trillium erectum root, Apocynum cannabinum root, Asafetida, Sodium borate, Eucalyptus globulus leaf, Gentiana lutea root, Strychnos ignatii seed, Wood creosote, Lathyrus sativas seed, Egg phospholipids, Lycopodium clavatum spore, Nutmeg, Oxalic acid dihydrate, Phosphoric acid, Sus scrofa pituitary gland, Platinum.
Who is the labeler?
Vitality Works, Inc., NDC labeler code 64616. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for RPT-Sys?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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