Revitalize Energizing Eye Drops Liquid
NDC Package 82864-001-01

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

Package Information

Revitalize Energizing Eye Drops (naphazoline hydrochloride , propylene glycol) liquids is put 1 or 2 drops in the affected eye(s) up to 4 times daily Tightly screw on cap to seal after use. This formulation utilizes a liquid delivery system. Marketed by Revitalize Energy Inc., this product is identified by NDC 82864-001 and is authorized under FDA application M018.

Identification & Billing

NDC Package Code
82864-001-01
Package Description
1 BOTTLE, DROPPER in 1 CARTON / 15 mL in 1 BOTTLE, DROPPER
Product Code
82864-001
11-Digit Billing Format
82864000101
RxNorm Crosswalk
  • RxCUI: 2627786 - naphazoline hydrochloride 0.03 % / propylene glycol 1 % Ophthalmic Solution
  • RxCUI: 2627786 - naphazoline hydrochloride 0.3 MG/ML / propylene glycol 10 MG/ML Ophthalmic Solution

Clinical Specifications

Proprietary Name
Revitalize Energizing Eye Drops
Non-Proprietary Name
Naphazoline Hydrochloride , Propylene Glycol
Substance Name
Naphazoline Hydrochloride; Propylene Glycol
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
Ophthalmic - Administration to the external eye.
Active Ingredient(s)
Usage Information
Put 1 or 2 drops in the affected eye(s) up to 4 times daily Tightly screw on cap to seal after use

Regulatory & Marketing

Labeler Name
Revitalize Energy Inc.
Product Type
Human Otc Drug
FDA Application #
M018
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2023
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (82864-001). Click a package code to view its specific billing and regulatory data.

82864-001-05
1 BOTTLE, DROPPER in 1 CARTON / 5 mL in 1 BOTTLE, DROPPER

* 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 82864-001-01 identifies a specific commercial package of 1 bottle, dropper in 1 carton / 15 ml in 1 bottle, dropper of Revitalize Energizing Eye Drops, a human over the counter drug labeled by Revitalize Energy Inc.. This liquid is formulated for ophthalmic use and contains naphazoline hydrochloride; propylene glycol 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 Revitalize Energy Inc. on February 01, 2023. The current certification is valid through December 31, 2026.

How is this Revitalize Energy Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 82864000101. 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)
82864-001-01
11-Digit CMS (5-4-2)
82864-0001-01

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