NDC 0270-1111-01 Prohance
Gadoteridol Injection, Solution Intravenous

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Other Packages
    4. Frequently Asked Questions

Package Information

The table below has all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code 0270-1111-01
Package Description 5 VIAL, SINGLE-DOSE in 1 BOX / 10 mL in 1 VIAL, SINGLE-DOSE
Product Code 0270-1111
Proprietary Name What is the Proprietary Name?
The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.		 Prohance
Non-Proprietary Name What is the Non-Proprietary Name?
The non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.		 Gadoteridol
Substance Name What is the Substance Name?
An active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.		 Gadoteridol
Usage Information Product Usage Information
The drug use information is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate. This information is not individual medical advice and does not substitute for the advice of a health care professional. Always ask a health care professional for complete information about this product and your specific health needs.		 NOT FOR DIRECT INFUSIONThe pharmacy bulk package is used as a multiple dose container with an appropriate transfer device to fill empty sterile syringes. Use the following procedures when transferring ProHance from the pharmacy bulk package to individual syringes:Use of this product is restricted to a suitable work area, such as a laminar flow hood, utilizing aseptic techniquePrior to entering the vial, remove the seal and cleanse the rubber closure with a suitable antiseptic agentThe container closure may be penetrated only one time, utilizing a suitable transfer device or dispensing set that allows measured dispensing of the contentsOnce the pharmacy bulk package is punctured, it should not be removed from the aseptic work area during the entire period of useWithdrawal of container contents should be accomplished without delay. A maximum time of 8 hours from initial closure entry is permitted to complete fluid transfer operationsAny unused contents must be discarded by 8 hours after initial puncture of the bulk packageOnce drawn into syringe, administer transferred agent promptly for single-dose administration
11-Digit NDC Billing Format NDC Format for Billing
For insurance billing purposes the Centers for Medicare & Medicaid Services (CMS) created an 11 digit NDC derivative identifier. If the NDC Package code is less than 11 digits the code must be padded with leading zeros. The leading zeros must be added to the appropriate segment to create a 5-4-2 configuration.		 00270111101
Billing Unit ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Product Type What kind of product is this?
Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.		 Human Prescription Drug
Labeler Name Bracco Diagnostics Inc
Dosage Form Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
Administration Route(s)
  • Intravenous - Administration within or into a vein or veins.
  • Intravenous - Administration within or into a vein or veins.
Active Ingredient(s)
Pharmacologic Class(es)
Sample Package Sample Package?
This field Indicates whether this package is a sample packaging or not.		 No
Marketing Category What is the Marketing Category?
Product types are broken down into several potential Marketing Categories, such as NDA/ANDA/BLA, OTC Monograph, or Unapproved Drug. One and only one Marketing Category may be chosen for a product, not all marketing categories are available to all product types. Currently, only final marketed product categories are included. The complete list of codes and translations can be found at www.fda.gov/edrls under Structured Product Labeling Resources.		 NDA - A product marketed under an approved New Drug Application.
FDA Application Number What is the FDA Application Number?
This corresponds to the NDA, ANDA, or BLA number reported by the labeler for products which have the corresponding Marketing Category designated. If the designated Marketing Category is OTC Monograph Final or OTC Monograph Not Final, then the Application number will be the CFR citation corresponding to the appropriate Monograph (e.g. “part 341”). For unapproved drugs, this field will be null.		 NDA020131
Start Marketing Date What is the Start Marketing Date?
This is the date that the labeler indicates was the start of its marketing of the drug product.		 11-16-1992
Listing Expiration Date What is the Listing Expiration Date?
This is the date when the listing record will expire if not updated or certified by the product labeler.		 12-31-2023
Exclude Flag What is the NDC Exclude Flag?
This field indicates whether the product has been removed/excluded from the NDC Directory for failure to respond to FDA"s requests for correction to deficient or non-compliant submissions ("Y"), or because the listing certification is expired ("E"), or because the listing data was inactivated by FDA ("I"). Values = "Y", "N", "E", or "I". 		N
NDC Code Structure

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

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NDC HCPCS Crosswalk

This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

NDC 0270-1111-01 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00270111101A9579Gad-base mr contrast nos,1ml1 ML1051050

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Other Product Packages

The following packages are also available for Prohance with product NDC 0270-1111.

NDC Package CodePackage Description
0270-1111-025 VIAL, SINGLE-DOSE in 1 BOX / 15 mL in 1 VIAL, SINGLE-DOSE
0270-1111-035 VIAL, SINGLE-DOSE in 1 BOX / 20 mL in 1 VIAL, SINGLE-DOSE
0270-1111-045 VIAL, SINGLE-DOSE in 1 BOX / 5 mL in 1 VIAL, SINGLE-DOSE
0270-1111-455 SYRINGE, GLASS in 1 BOX / 17 mL in 1 SYRINGE, GLASS
0270-1111-705 VIAL, PHARMACY BULK PACKAGE in 1 BOX / 50 mL in 1 VIAL, PHARMACY BULK PACKAGE
0270-1111-855 VIAL, PHARMACY BULK PACKAGE in 1 BOX / 100 mL in 1 VIAL, PHARMACY BULK PACKAGE

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0270-1111-01?

The NDC Packaged Code 0270-1111-01 is assigned to a package of 5 vial, single-dose in 1 box / 10 ml in 1 vial, single-dose of Prohance, a human prescription drug labeled by Bracco Diagnostics Inc. The product's dosage form is injection, solution and is administered via intravenous form.

Is NDC 0270-1111 included in the NDC Directory?

Yes, Prohance with product code 0270-1111 is active and included in the NDC Directory. The product was first marketed by Bracco Diagnostics Inc on November 16, 1992 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0270-1111-01?

The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

What is the 11-digit format for NDC 0270-1111-01?

The 11-digit format is 00270111101. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Package Format10-Digit Original Package Code11-Digit Package Format11-Digit Conversion Package Code
4-4-20270-1111-015-4-200270-1111-01