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  5. NDC Package Code: 17156-251-08 Indium Dtpa In 111

NDC Package 17156-251-08 Indium Dtpa In 111

Indium In-111 Pentetate Disodium Solution Intrathecal - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find 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:
17156-251-08
Package Description:
1.5 mL in 1 VIAL, GLASS
Product Code:
17156-251
Proprietary Name:
Indium Dtpa In 111
Non-Proprietary Name:
Indium In-111 Pentetate Disodium
Substance Name:
Indium In-111 Pentetate Disodium
Usage Information:
Pentetate Indium Disodium In 111 is recommended for use in radionuclide cisternography.
11-Digit NDC Billing Format:
17156025108
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
1 EA
Product Type:
Human Prescription Drug
Labeler Name:
Medi-physics, Inc. Dba Ge Healthcare
Dosage Form:
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route(s):
  • Intrathecal - Administration within the cerebrospinal fluid at any level of the cerebrospinal axis, including injection into the cerebral ventricles.
    • Active Ingredient(s):
  • INDIUM IN-111 PENTETATE DISODIUM 1 mCi/mL
    • Sample Package:
    No
    FDA Application Number:
    NDA017707
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    02-18-1982
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    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.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 17156-251-08?

    The NDC Packaged Code 17156-251-08 is assigned to a package of 1.5 ml in 1 vial, glass of Indium Dtpa In 111, a human prescription drug labeled by Medi-physics, Inc. Dba Ge Healthcare. The product's dosage form is solution and is administered via intrathecal form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.

    Is NDC 17156-251 included in the NDC Directory?

    Yes, Indium Dtpa In 111 with product code 17156-251 is active and included in the NDC Directory. The product was first marketed by Medi-physics, Inc. Dba Ge Healthcare on February 18, 1982 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 17156-251-08?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1.

    What is the 11-digit format for NDC 17156-251-08?

    The 11-digit format is 17156025108. 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 5-3-2 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-217156-251-085-4-217156-0251-08