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NDC 65174-0270-30 DRAXIMAGE MAA 2.5 mg/1 Details
DRAXIMAGE MAA 2.5 mg/1
DRAXIMAGE MAA is a INTRAVENOUS INJECTION, POWDER, FOR SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Jubilant DraxImage Inc., dba Jubilant Radiopharma. The primary component is ALBUMIN AGGREGATED.
Product Information
NDC | 65174-0270 |
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Product ID | 65174-270_c3ca92d8-e308-47f1-b66b-8ba914dd9128 |
Associated GPIs | |
GCN Sequence Number | 067659 |
GCN Sequence Number Description | kit for of prep Tc-99m/albumin VIAL 2.5 MG INTRAVEN |
HIC3 | Z9D |
HIC3 Description | DIAGNOSTIC PREPARATIONS,MISCELLANEOUS |
GCN | 30265 |
HICL Sequence Number | 024536 |
HICL Sequence Number Description | KIT FOR PREP OF TC-99M/ALBUMIN HUMAN,AGGREGATED |
Brand/Generic | Brand |
Proprietary Name | DRAXIMAGE MAA |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | Kit for the preparation of Technetium Tc 99m Albumin aggregated |
Product Type | HUMAN PRESCRIPTION DRUG |
Dosage Form | INJECTION, POWDER, FOR SOLUTION |
Route | INTRAVENOUS |
Active Ingredient Strength | 2.5 |
Active Ingredient Units | mg/1 |
Substance Name | ALBUMIN AGGREGATED |
Labeler Name | Jubilant DraxImage Inc., dba Jubilant Radiopharma |
Pharmaceutical Class | n/a |
DEA Schedule | n/a |
Marketing Category | BLA |
Application Number | BLA017881 |
Listing Certified Through | 2024-12-31 |
Package
NDC 65174-0270-30 (65174027030)
NDC Package Code | 65174-270-30 |
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Billing NDC | 65174027030 |
Package | 30 INJECTION, POWDER, FOR SOLUTION in 1 KIT (65174-270-30) |
Marketing Start Date | 1987-12-30 |
NDC Exclude Flag | N |
Pricing Information | N/A |