Skip to main content

ELUCIREM

NDC 67684-4250 · Guerbet LLC

Generic namegadopiclenol
Dosage formINJECTION
RouteINTRAVENOUS
Active ingredient(s)GADOPICLENOL
Strength485.1 mg/mL
Marketing categoryNDA

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