ELUCIREM
NDC 67684-4250 · Guerbet LLC
Packages
67684-4250-1 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-1) / 30 mL in 1 VIAL, PHARMACY BULK PACKAGE
67684-4250-2 25 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-2) / 30 mL in 1 VIAL, PHARMACY BULK PACKAGE
67684-4250-3 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-3) / 50 mL in 1 VIAL, PHARMACY BULK PACKAGE
67684-4250-4 25 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-4) / 50 mL in 1 VIAL, PHARMACY BULK PACKAGE
67684-4250-5 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-5) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE
67684-4250-6 6 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-6) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE
67684-4250-7 12 VIAL, PHARMACY BULK PACKAGE in 1 CARTON (67684-4250-7) / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE
Billed under HCPCS
A9573 — Injection, gadopiclenol, 1 ml Medicare Part B payment limit (ASP + 6%): $3.15
Related Codes
Same active ingredient
FDA lists these products with the same active ingredient.
0270-7015 — Gadopiclenol, 0270-7020 — Gadopiclenol, 0270-7025 — Gadopiclenol, 0270-7030 — Gadopiclenol, 0270-7035 — Gadopiclenol, 67684-4230 — gadopiclenol, 67684-4231 — gadopiclenol, 67684-4232 — gadopiclenol, 67684-4233 — gadopiclenol, 67684-4240 — gadopiclenol, 67684-4241 — gadopiclenol, 67684-4242 — gadopiclenol, 67684-4251 — gadopiclenol