MultiHance
NDC 0270-5164 · BRACCO DIAGNOSTICS INC
Generic namegadobenate dimeglumine
Dosage formINJECTION, SOLUTION
RouteINTRAVENOUS
Active ingredient(s)GADOBENATE DIMEGLUMINE
Strength529 mg/mL
Pharmacologic classGadolinium-based Contrast Agent [EPC], Magnetic Resonance Contrast Activity [MoA]
Marketing categoryNDA
Packages
0270-5164-12 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-12) / 5 mL in 1 VIAL, SINGLE-DOSE
0270-5164-13 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-13) / 10 mL in 1 VIAL, SINGLE-DOSE
0270-5164-14 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-14) / 15 mL in 1 VIAL, SINGLE-DOSE
0270-5164-15 — 5 VIAL, SINGLE-DOSE in 1 BOX (0270-5164-15) / 20 mL in 1 VIAL, SINGLE-DOSE
Billed under HCPCS
A9577 — Injection, gadobenate dimeglumine (multihance), per ml Medicare Part B payment limit (ASP + 6%): $1.79
Related Codes
Same active ingredient
FDA lists these products with the same active ingredient.
0270-5264 — gadobenate dimeglumine