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ProHance

NDC 0270-1111 · Bracco Diagnostics Inc

FDA carries 2 listing records for this NDC; the most recent is shown.

Generic namegadoteridol
Dosage formINJECTION, SOLUTION
RouteINTRAVENOUS
Active ingredient(s)GADOTERIDOL
Strength279.3 mg/mL
Pharmacologic classMagnetic Resonance Contrast Activity [MoA], Paramagnetic Contrast Agent [EPC]
Marketing categoryNDA

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.

70436-121 — GADOTERIDOL