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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
    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
    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