ProHance
NDC 0270-1111 · Bracco Diagnostics Inc
FDA carries 2 listing records for this NDC; the most recent is shown.
Packages
0270-1111-01 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-1111-01) / 10 mL in 1 VIAL, SINGLE-DOSE
0270-1111-02 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-1111-02) / 15 mL in 1 VIAL, SINGLE-DOSE
0270-1111-03 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-1111-03) / 20 mL in 1 VIAL, SINGLE-DOSE
0270-1111-04 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-1111-04) / 5 mL in 1 VIAL, SINGLE-DOSE
0270-1111-70 — 5 VIAL, PHARMACY BULK PACKAGE in 1 BOX (0270-1111-70) / 50 mL in 1 VIAL, PHARMACY BULK PACKAGE
0270-1111-85 — 5 VIAL, PHARMACY BULK PACKAGE in 1 BOX (0270-1111-85) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE
Billed under HCPCS
A9576 — Injection, gadoteridol, (prohance multipack), per ml Medicare Part B payment limit (ASP + 6%): $1.37
A9579 — Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml Medicare Part B payment limit (ASP + 6%): $1.44
Related Codes
Same active ingredient
FDA lists these products with the same active ingredient.