Cal-5-revive Liquid
NDC Package 64616-109-02

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

Package Information

Cal-5-revive (calcium balance) liquids is classified as a

Identification & Billing

NDC Package Code
64616-109-02
Package Description
59 mL in 1 BOTTLE, DROPPER
Product Code
64616-109
11-Digit Billing Format
64616010902

Clinical Specifications

Proprietary Name
Cal-5-revive
Non-Proprietary Name
Calcium Balance
Substance Name
Aconitum Napellus; Bismuth Subnitrate; Calcium Arsenate; Calcium Fluoride; Calcium Hydroxide; Calcium Iodide; Calcium Oxalate Monohydrate; Elaeis Guineensis Fruit; Helianthus Annuus Flowering Top; Hydrangea Arborescens Root; Ipecac; Iris Germanica Var. Florentina Root; Magnesium Phosphate, Dibasic Trihydrate; Manganese Acetate Tetrahydrate; Mercurius Solubilis; Osmium; Phosphoric Acid; Potassium Arsenite Anhydrous; Potassium Chlorate; Sanguinarine Nitrate; Tellurium; Zinc Gluconate
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class

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
03-20-2013
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 64616-109-02 identifies a specific commercial package of 59 ml in 1 bottle, dropper of Cal-5-revive, a human over the counter drug labeled by Vitality Works, Inc.. This liquid is formulated for oral use and contains aconitum napellus; bismuth subnitrate; calcium arsenate; calcium fluoride; calcium hydroxide; calcium iodide; calcium oxalate monohydrate; elaeis guineensis fruit; helianthus annuus flowering top; hydrangea arborescens root; ipecac; iris germanica var. florentina root; magnesium phosphate, dibasic trihydrate; manganese acetate tetrahydrate; mercurius solubilis; osmium; phosphoric acid; potassium arsenite anhydrous; potassium chlorate; sanguinarine nitrate; tellurium; zinc gluconate 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 March 20, 2013. 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: 64616010902. 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)
64616-109-02
11-Digit CMS (5-4-2)
64616-0109-02

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