Prescription drug · NDA
Glofil-125 (sodium iothalamate i-125 injection) NDC 50914-7729
Iothalamate sodium i-125 .275 mCi/mL · Injection, Solution · Intravenous · Iso-Tex Diagnostics, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50914-7729-2 | 50914772902 | 1 VIAL, MULTI-DOSE in 1 BOX (50914-7729-2) / 4 mL in 1 VIAL, MULTI-DOSEMarketed from May 1, 1983 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- Glofil-125
- Generic name (nonproprietary)
- sodium iothalamate i-125 injection
- Active ingredients
- Iothalamate sodium i-125 — .275 mCi/mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- Iso-Tex Diagnostics, Inc.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 017279
- Marketing start
- Listing expires
- Other FDA classes
- Radiopharmaceutical Activity (Mechanism)
- Identifiers
- Product ID 50914-7729_03a98b4c-213b-4537-8d3a-aaa9f9f1cc9bSPL ID 03a98b4c-213b-4537-8d3a-aaa9f9f1cc9bSPL set ID 7f250086-2837-484b-9674-e09856b34cb0UNII 31J5U3Q9ZNUPC 0050914772920
- Pharmacologic class
- Radioactive Diagnostic Agent
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
N450914772902followed by a unit qualifier and the quantityPackage 50914-7729-02. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.