NDC codes

FDA NDC Directory
Product NDC (as listed)64616-109Labeler and product segments. Claims need a package NDC.
Product NDC at billing width64616-0109Add 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
64616-109-02646160109026461601090259 mL in 1 BOTTLE, DROPPER (64616-109-02)Marketed from Mar 20, 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)
Cal-5-Revive
Generic name (nonproprietary)
calcium balance
Active ingredients
Aconitum napellus — 20 [hp_X]/mLBismuth subnitrate — 15 [hp_X]/mLCalcium arsenate — 12 [hp_X]/mLCalcium hydroxide — 27 [hp_X]/mLCalcium fluoride — 25 [hp_X]/mLCalcium iodide — 10 [hp_X]/mLCalcium oxalate monohydrate — 30 [hp_X]/mLElaeis guineensis fruit — 20 [hp_X]/mLHelianthus annuus flowering top — 22 [hp_X]/mLHydrangea arborescens root — 14 [hp_X]/mLIpecac — 24 [hp_X]/mLIris germanica var. Florentina root — 23 [hp_X]/mLPotassium arsenite anhydrous — 20 [hp_X]/mLPotassium chlorate — 30 [hp_X]/mLMagnesium phosphate, Dibasic trihydrate — 22 [hp_X]/mLManganese acetate tetrahydrate — 22 [hp_X]/mLMercurius solubilis — 30 [hp_X]/mLOsmium — 22 [hp_X]/mLPhosphoric acid — 36 [hp_X]/mLSanguinarine nitrate — 17 [hp_X]/mLTellurium — 27 [hp_X]/mLZinc gluconate — 30 [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)Bismuth (Chemical structure)Calcium (Chemical structure)Calcium (Chemical structure)Divalent (Chemical structure)Divalent (Chemical structure)Cell-mediated Immunity (Physiologic effect)Decreased Copper Ion Absorption (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Coagulation Factor Activity (Physiologic effect)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Magnetic Resonance Contrast Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Plant Proteins (Chemical structure)Potassium Compounds (Chemical structure)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 64616-109_462ee9f7-0ebf-5e66-e063-6394a90a8161SPL ID 462ee9f7-0ebf-5e66-e063-6394a90a8161SPL set ID a642c238-dacc-41a0-8590-ca466eb29789UNII U0NQ8555JD, H19J064BA5, 95OX15I8ZU, PF5DZW74VN, O3B55K4YKI, 8EKI9QEE2H, 4PP86KK527, 80T6U6714J, BKJ0J3D1BP, SFK828Q2DE, 62I3C8233L, M30XO5X4XD, BM2U42PAKI, H35KS68EE7, HF539G9L3Q, 9TO51D176N, 324Y4038G2, 2E7M255OPY, E4GA8884NN, BOP122S791, NQA0O090ZJ, U6WSN5SQ1Z
Pharmacologic class
Bismuth; Blood Coagulation Factor; Calculi Dissolution Agent; Copper Absorption Inhibitor; Non-Standardized Plant Allergenic Extract; Osmotic Laxative; Paramagnetic Contrast Agent; Phosphate Binder; Potassium Salt

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

N464616010902 followed by a unit qualifier and the quantity

Package 64616-0109-02. 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)

Cal-5-Revive For the temporary relief of muscular tension and aches, joint pain, mental stress and tiredness, racing or irregular heartbeat, physical and emotional tension, digestive discomfort, general unrest and sleeplessness.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 64616-109

What is NDC 64616-109?
64616-109 is the product NDC for Cal-5-Revive (calcium balance), Aconitum napellus 20 [hp_X]/mL + 21 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?
Cal-5-Revive (Calcium Balance).
What is the active ingredient?
Aconitum napellus, Bismuth subnitrate, Calcium arsenate, Calcium hydroxide, Calcium fluoride, Calcium iodide, Calcium oxalate monohydrate, Elaeis guineensis fruit, Helianthus annuus flowering top, Hydrangea arborescens root, Ipecac, Iris germanica var. Florentina root, Potassium arsenite anhydrous, Potassium chlorate, Magnesium phosphate, Dibasic trihydrate, Manganese acetate tetrahydrate, Mercurius solubilis, Osmium, Phosphoric acid, Sanguinarine nitrate, Tellurium, Zinc gluconate.
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 Cal-5-Revive?
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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