Sodium Iodide I-123 Solution
NDC Package 17156-945-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is an UNFINISHED DRUG part of the official NDC directory. Unfinished drugs include products like active ingredients some of which are used in bulk for further processing or compounding. The FDA requires a list of these drugs manufactured in a U.S. commercial distribution facility.

Sodium Iodide I-123 solution is a bulk ingredient utilized for pharmaceutical compounding or manufacturing. This formulation utilizes a solution delivery system. Marketed by Medi-physics Inc. Dba Ge Healthcare, this product is identified by NDC 17156-945.

Identification & Billing

NDC Package Code
17156-945-01
Package Description
1 BOTTLE in 1 BOX / 200 mCi in 1 BOTTLE
Product Code
17156-945
11-Digit Billing Format
17156094501

Clinical Specifications

Proprietary Name
Sodium Iodide I-123
Non-Proprietary Name
Sodium Iodide I-123
Substance Name
Sodium Iodide I-123
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.
Active Ingredient(s)
SODIUM IODIDE I-123 200 mCi/200mCi

Regulatory & Marketing

Labeler Name
Medi-physics Inc. Dba Ge Healthcare
Product Type
Bulk Ingredient
Marketing Category
BULK INGREDIENT - A category specifying that a product is marketed as a bulk ingredient.
Start Marketing Date
07-01-2013
Listing Expiration
12-31-2026
Exclude Flag
N
Unfinished Product
Yes
Sample Package
N/A

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 17156-945-01 identifies a specific commercial package of 1 bottle in 1 box / 200 mci in 1 bottle of Sodium Iodide I-123 (UNFINISHED drug), a bulk ingredient labeled by Medi-physics Inc. Dba Ge Healthcare. This solution is formulated for use and contains sodium iodide i-123 as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Medi-physics Inc. Dba Ge Healthcare on July 01, 2013. The current certification is valid through December 31, 2026.

How is this Medi-physics Inc. Dba Ge Healthcare product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17156094501. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
17156-945-01
11-Digit CMS (5-4-2)
17156-0945-01

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.