Prescription drug · NDA
Ga-68-DOTATOC (edotreotide gallium ga-68) NDC 24417-681
Edotreotide gallium ga-68 4 mCi/mL · Injection, Solution · Intravenous · UIHC P E T Imaging Center
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 24417-681-30 | 24417068130 | 14 mL in 1 VIAL, MULTI-DOSE (24417-681-30)Marketed from Sep 1, 2019 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- Ga-68-DOTATOC
- Generic name (nonproprietary)
- edotreotide gallium ga-68
- Active ingredients
- Edotreotide gallium ga-68 — 4 mCi/mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- UIHC P E T Imaging Center
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 210828
- Marketing start
- Listing expires
- Identifiers
- Product ID 24417-681_d8871970-cf1c-4cd2-86ed-0565c0dfb5ccSPL ID d8871970-cf1c-4cd2-86ed-0565c0dfb5ccSPL set ID c4d185c3-d520-462d-ba50-4f4ee485ace3UNII Y68179SY2L
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeNo match
No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.
- Administration
Drug administration (CPT 96360–96549)
When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.
- NDC on a medical claim
N424417068130followed by a unit qualifier and the quantityPackage 24417-0681-30. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Ga 68 DOTATOC Injection is indicated for use with positron emission tomography (PET) for the localization of somatostatin receptor positive neuroendocrine tumors (NETs) in adult and pediatric patients. Ga 68 DOTATOC Injection is a radioactive diagnostic agent indicated for use with positron emission tomography (PET) for localization of somatostatin receptor positive neuroendocrine tumors (NETs) in adult and pediatric patients. ( 1 )
Excerpt only. Read the full label for complete information.