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NDC 17156-0067-30 Vizamyl 4.05 mCi/mL Details
Vizamyl 4.05 mCi/mL
Vizamyl is a INTRAVENOUS SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Medi-Physics, Inc. dba GE Healthcare. The primary component is FLUTEMETAMOL F-18.
Product Information
NDC | 17156-0067 |
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Product ID | 17156-067_98dce1b2-724b-43f5-8090-ee7c82c88910 |
Associated GPIs | 94352534002020 |
GCN Sequence Number | 074767 |
GCN Sequence Number Description | flutemetamol F-18 VIAL 5 MCI INTRAVEN |
HIC3 | H1Y |
HIC3 Description | DIAGNOSTIC RADIOPHARM - AMYLOID/TAU IMAGING |
GCN | 39487 |
HICL Sequence Number | 042525 |
HICL Sequence Number Description | FLUTEMETAMOL F-18 |
Brand/Generic | Brand |
Proprietary Name | Vizamyl |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | Flutemetamol F-18 |
Product Type | HUMAN PRESCRIPTION DRUG |
Dosage Form | SOLUTION |
Route | INTRAVENOUS |
Active Ingredient Strength | 4.05 |
Active Ingredient Units | mCi/mL |
Substance Name | FLUTEMETAMOL F-18 |
Labeler Name | Medi-Physics, Inc. dba GE Healthcare |
Pharmaceutical Class | Radioactive Diagnostic Agent [EPC], Radiopharmaceutical Activity [MoA] |
DEA Schedule | n/a |
Marketing Category | NDA |
Application Number | NDA203137 |
Listing Certified Through | 2024-12-31 |
Package
NDC 17156-0067-30 (17156006730)
NDC Package Code | 17156-067-30 |
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Billing NDC | 17156006730 |
Package | 1 VIAL, MULTI-DOSE in 1 CONTAINER (17156-067-30) / 30 mL in 1 VIAL, MULTI-DOSE |
Marketing Start Date | 2014-03-01 |
NDC Exclude Flag | N |
Pricing Information | N/A |