Omnipaque
NDC Package 42852-014-15

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Omnipaque is a medication used before X-ray imaging tests (such as CT scans). Marketed by Apothecary Shop Wholesale Inc., this product is identified by NDC 42852-014 and is authorized under FDA application NDA018956.

Identification & Billing

NDC Package Code
42852-014-15
Package Description
5 mL in 1 VIAL, SINGLE-DOSE
Product Code
42852-014
11-Digit Billing Format
42852001415

Clinical Specifications

Proprietary Name
Omnipaque
Dosage Form
-
Usage Information
This medication is used before X-ray imaging tests (such as CT scans). Iohexol contains iodine and belongs to a class of drugs known as contrast media or dyes. It works by adding contrast to body parts and fluids in these imaging tests. Iohexol improves the images obtained during a CT scan, so your doctor can more easily diagnose your condition.

Regulatory & Marketing

Labeler Name
Apothecary Shop Wholesale Inc.
FDA Application #
NDA018956
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
07-01-2011
End Marketing Date
08-31-2011
Listing Expiration
08-31-2011
Exclude Flag
D
Sample Package
No

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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (42852-014). Click a package code to view its specific billing and regulatory data.

42852-014-10
10 mL in 1 VIAL, SINGLE-DOSE
42852-014-12
2 mL in 1 VIAL, SINGLE-DOSE

* 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 42852-014-15 identifies a specific commercial package of 5 ml in 1 vial, single-dose of Omnipaque, labeled by Apothecary Shop Wholesale Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Apothecary Shop Wholesale Inc. on July 01, 2011. The current certification is valid through August 31, 2011.

What are the primary indications for this medication?

This medication is used before X-ray imaging tests (such as CT scans). Iohexol contains iodine and belongs to a class of drugs known as contrast media or dyes. It works by adding contrast to body parts and fluids in these imaging tests. Iohexol improves the images obtained during a CT scan, so your doctor can more easily diagnose your condition.

How is this Apothecary Shop Wholesale Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42852001415. 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)
42852-014-15
11-Digit CMS (5-4-2)
42852-0014-15

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