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NDC 17156-0210-01 DaTscan 2 mCi/mL Details
DaTscan 2 mCi/mL
DaTscan is a INTRAVENOUS INJECTION, SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Medi-Physics Inc. dba GE Healthcare.. The primary component is IOFLUPANE I-123.
Product Information
| NDC | 17156-0210 |
|---|---|
| Product ID | 17156-210_fd67b7dc-7c58-47ee-a7d1-51555c103555 |
| Associated GPIs | 94352540102020 |
| GCN Sequence Number | 067364 |
| GCN Sequence Number Description | ioflupane I 123 VIAL 5MCI/2.5ML INTRAVEN |
| HIC3 | H1W |
| HIC3 Description | DIAGNOSTIC RADIOPHARM - DOPAMINE TRANSPORTER (DAT) |
| GCN | 29903 |
| HICL Sequence Number | 037590 |
| HICL Sequence Number Description | IOFLUPANE I 123 |
| Brand/Generic | Brand |
| Proprietary Name | DaTscan |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Ioflupane I-123 |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INJECTION, SOLUTION |
| Route | INTRAVENOUS |
| Active Ingredient Strength | 2 |
| Active Ingredient Units | mCi/mL |
| Substance Name | IOFLUPANE I-123 |
| 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 | NDA022454 |
| Listing Certified Through | 2025-12-31 |
Package
NDC 17156-0210-01 (17156021001)
| NDC Package Code | 17156-210-01 |
|---|---|
| Billing NDC | 17156021001 |
| Package | 1 VIAL, GLASS in 1 CONTAINER (17156-210-01) / 2.5 mL in 1 VIAL, GLASS |
| Marketing Start Date | 2011-03-01 |
| NDC Exclude Flag | N |
| Pricing Information | N/A |