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  5. NDC Package Code: 65174-270-30 Draximage Maa

NDC Package 65174-270-30 Draximage Maa

Kit For The Preparation Of Technetium Tc 99m Albumin Aggregated Injection, Powder, For - 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:
65174-270-30
Package Description:
30 INJECTION, POWDER, FOR SOLUTION in 1 KIT
Product Code:
65174-270
Proprietary Name:
Draximage Maa
Non-Proprietary Name:
Kit For The Preparation Of Technetium Tc 99m Albumin Aggregated
Substance Name:
Albumin Aggregated
Usage Information:
Technetium Tc 99m Albumin Aggregated Injection is a lung imaging agent which may be used as an adjunct in the evaluation of pulmonary perfusion in adults and pediatric patients.Technetium Tc 99m Albumin Aggregated Injection may be used in adults as an imaging agent to aid in the evaluation of peritoneovenous (LeVeen) shunt patency.
11-Digit NDC Billing Format:
65174027030
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
30 EA
Product Type:
Human Prescription Drug
Labeler Name:
Jubilant Draximage Inc
Dosage Form:
Injection, Powder, For Solution - A sterile preparation intended for reconstitution to form a solution for parenteral use.
Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • ALBUMIN AGGREGATED 2.5 mg/1
    • Sample Package:
    No
    FDA Application Number:
    BLA017881
    Marketing Category:
    BLA - A product marketed under an approved Biologic License Application.
    Start Marketing Date:
    12-30-1987
    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 65174-270-30?

    The NDC Packaged Code 65174-270-30 is assigned to a package of 30 injection, powder, for solution in 1 kit of Draximage Maa, a human prescription drug labeled by Jubilant Draximage Inc. The product's dosage form is injection, powder, for solution and is administered via intravenous form.This product is billed for "EA" each discreet unit and contains an estimated amount of 30 billable units per package.

    Is NDC 65174-270 included in the NDC Directory?

    Yes, Draximage Maa with product code 65174-270 is active and included in the NDC Directory. The product was first marketed by Jubilant Draximage Inc on December 30, 1987 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 65174-270-30?

    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 30.

    What is the 11-digit format for NDC 65174-270-30?

    The 11-digit format is 65174027030. 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
    5-3-265174-270-305-4-265174-0270-30