Olive Vaginal Formula Spray
NDC Package 64616-055-02

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Olive Vaginal Formula (olive leaf vaginal spray) sprays is a human otc drug administered via vaginal route. This formulation utilizes a spray delivery system. Marketed by Vitality Works, Inc, this product is identified by NDC 64616-055.

Identification & Billing

NDC Package Code
64616-055-02
Package Description
1 BOTTLE, PLASTIC in 1 CARTON / 30 mL in 1 BOTTLE, PLASTIC (64616-055-01)
Product Code
64616-055
11-Digit Billing Format
64616005502

Clinical Specifications

Proprietary Name
Olive Vaginal Formula
Non-Proprietary Name
Olive Leaf Vaginal Spray
Substance Name
Chamaelirium Luteum Root; Platinum; Sodium Borate; Wood Creosote
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
Administration Route
Vaginal - Administration into the vagina.
Active Ingredient(s)

Regulatory & Marketing

Labeler Name
Vitality Works, Inc
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
02-10-2010
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 64616-055-02 identifies a specific commercial package of 1 bottle, plastic in 1 carton / 30 ml in 1 bottle, plastic (64616-055-01) of Olive Vaginal Formula, a human over the counter drug labeled by Vitality Works, Inc. This spray is formulated for vaginal use and contains chamaelirium luteum root; platinum; sodium borate; wood creosote as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Vitality Works, Inc on February 10, 2010. The current certification is valid through December 31, 2026.

How is this Vitality Works, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 64616005502. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
64616-055-02
11-Digit CMS (5-4-2)
64616-0055-02

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.