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  5. NDC Package Code: 65174-880-00 Hicon

NDC Package 65174-880-00 Hicon

Sodium Iodide I 131 Solution Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. 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:
65174-880-00
Package Description:
1 VIAL in 1 KIT / 1 mL in 1 VIAL
Product Code:
65174-880
Proprietary Name:
Hicon
Non-Proprietary Name:
Sodium Iodide I 131
Substance Name:
Sodium Iodide I-131
Usage Information:
HICON® is indicated for the treatment of hyperthyroidism and selected cases of thyroid carcinoma.
11-Digit NDC Billing Format:
65174088000
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:
Jubilant Draximage Inc., Dba Jubilant Radiopharma
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):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • SODIUM IODIDE I-131 1000 mCi/mL
    • Pharmacologic Class(es):
  • Radioactive Therapeutic Agent - [EPC] (Established Pharmacologic Class)
  • Radiopharmaceutical Activity - [MoA] (Mechanism of Action)
    • Sample Package:
    No
    FDA Application Number:
    NDA021305
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    04-07-2003
    Listing Expiration Date:
    12-31-2024
    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.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    65174-880-251 VIAL in 1 KIT / .25 mL in 1 VIAL
    65174-880-501 VIAL in 1 KIT / .5 mL in 1 VIAL

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 65174-880-00?

    The NDC Packaged Code 65174-880-00 is assigned to a package of 1 vial in 1 kit / 1 ml in 1 vial of Hicon, a human prescription drug labeled by Jubilant Draximage Inc., Dba Jubilant Radiopharma. The product's dosage form is solution and is administered via oral form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.

    Is NDC 65174-880 included in the NDC Directory?

    Yes, Hicon with product code 65174-880 is active and included in the NDC Directory. The product was first marketed by Jubilant Draximage Inc., Dba Jubilant Radiopharma on April 07, 2003 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 65174-880-00?

    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 65174-880-00?

    The 11-digit format is 65174088000. 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
    5-3-265174-880-005-4-265174-0880-00