Prescription drug · NDA
Kit for the Preparation of Technetium Tc99m Sestamibi NDC 11994-003
tetrakis(2-methoxyisobutylisocyanide)copper(i) tetrafluoroborate · Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate 1 mg/mL · Injection, Powder, Lyophilized, For solution · Intravenous · Lantheus Medical Imaging, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11994-003-20 | 1199400032011994000320 | 20 VIAL in 1 BOX (11994-003-20) / 5 mL in 1 VIALMarketed from Dec 20, 1990 |
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)
- Kit for the Preparation of Technetium Tc99m Sestamibi
- Generic name (nonproprietary)
- tetrakis(2-methoxyisobutylisocyanide)copper(i) tetrafluoroborate
- Active ingredients
- Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate — 1 mg/mL
- Dosage form
- Injection, Powder, Lyophilized, For solution
- Route
- Intravenous
- Labeler
- Lantheus Medical Imaging, Inc.NDC labeler code 11994
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 019785
- Marketing start
- Listing expires
- Identifiers
- Product ID 11994-003_517b7337-3529-4948-8d02-b8e2cf97a161SPL ID 517b7337-3529-4948-8d02-b8e2cf97a161SPL set ID 8c03a854-185a-45d7-883f-9f87e4750181UNII N6OU7HJ70P
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
N411994000320followed by a unit qualifier and the quantityPackage 11994-0003-20. 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)
1. INDICATIONS AND USAGE Technetium Tc99m Sestamibi is a myocardial perfusion agent indicated for: detecting coronary artery disease by localizing myocardial ischemia (reversible defects) and infarction (non-reversible defects) evaluating myocardial function and developing information for use in patient management decisions Myocardial Imaging: Technetium Tc99m Sestamibi is a myocardial perfusion agent that is indicated for detecting coronary artery disease by localizing myocardial ischemia (reversible defects) and infarction (non-reversible defects), in evaluating myocardial function and developing information for use in patient management decisions. Technetium Tc99m Sestamibi evaluation of …
Excerpt only. Read the full label for complete information.
About NDC 11994-003
- What is NDC 11994-003?
- 11994-003 is the product NDC for Kit for the Preparation of Technetium Tc99m Sestamibi, Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate 1 mg/mL injection, powder, lyophilized, for solution, listed with the FDA by Lantheus Medical Imaging, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Kit for the Preparation of Technetium Tc99m Sestamibi (Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate).
- What is the active ingredient?
- Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate.
- Who is the labeler?
- Lantheus Medical Imaging, Inc., NDC labeler code 11994. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Kit for the Preparation of Technetium Tc99m Sestamibi?
- 1 other product NDC are listed under this name. See all Kit for the Preparation of Technetium Tc99m Sestamibi NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Kit for the Preparation of Technetium Tc99m Sestamibi products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Kit for the Preparation of Technetium Tc99m Sestamibi | Technetium tc-99m sestamibi 1 mg/5mL | Injection, Powder, Lyophilized, For solutionParenteral | Cardinal Health 414, LLC | 65857-500 | 65857-0500-20 |
Other NDCs under NDA 019785
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Cardiolitetetrakis(2-methoxyisobutylisocyanide)copper(i) tetrafluoroborate | Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate 1 mg/mL | Injection, Powder, Lyophilized, For solutionIntravenous | Lantheus Medical Imaging, Inc. | 11994-001 |
| Cardiolitetetrakis(2-methoxyisobutylisocyanide)copper(i) tetrafluoroborate | Tetrakis(2-methoxyisobutylisocyanide)copper(I) tetrafluoroborate 1 mg/mL | Injection, Powder, Lyophilized, For solutionIntravenous | SHINE SPECT USA, LLC | 87333-001 |