NDC codes

FDA NDC Directory
Product NDC (as listed)67684-2001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67684-2001Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
67684-2001-0676842001006768420010010 VIAL in 1 PACKAGE (67684-2001-0) / 5 mL in 1 VIALMarketed from Oct 24, 2019
67684-2001-1676842001016768420010110 VIAL in 1 PACKAGE (67684-2001-1) / 10 mL in 1 VIALMarketed from Oct 24, 2019
67684-2001-2676842001026768420010210 VIAL in 1 PACKAGE (67684-2001-2) / 15 mL in 1 VIALMarketed from Oct 24, 2019
67684-2001-3676842001036768420010310 VIAL in 1 PACKAGE (67684-2001-3) / 20 mL in 1 VIALMarketed from Oct 24, 2019

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)
Dotarem
Generic name (nonproprietary)
gadoterate meglumine
Active ingredients
Gadoterate meglumine — 376.9 mg/mL
Dosage form
Injection
Route
Intravenous
Labeler
Guerbet LLCNDC labeler code 67684
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 204781
Marketing start
Listing expires
Other FDA classes
Magnetic Resonance Contrast Activity (Mechanism)
Identifiers
Product ID 67684-2001_313093fe-89fb-4ca8-973c-f36175bb47dfSPL ID 313093fe-89fb-4ca8-973c-f36175bb47dfSPL set ID e2c4a5ac-2df2-4cf4-a2d3-6fbe2d898ebcUNII L0ND3981AGUPC 0367684200110, 0367684300124, 0367684300117, 0367684300131, 0367684200103, 0367684200134, 0367684200127
Pharmacologic class
Gadolinium-based Contrast 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.

How CPT relates to drug billing

NDC on a medical claim

N467684200100 followed by a unit qualifier and the quantity

Package 67684-2001-00. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

DOTAREM is a gadolinium-based contrast agent indicated for intravenous use with magnetic resonance imaging (MRI) in brain (intracranial), spine and associated tissues in adult and pediatric patients (including term neonates) to detect and visualize areas with disruption of the blood brain barrier (BBB) and/or abnormal vascularity. DOTAREM is a gadolinium-based contrast agent indicated for intravenous use with magnetic resonance imaging (MRI) in brain (intracranial), spine and associated tissues in adult and pediatric patients (including term neonates) to detect and visualize areas with disruption of the blood brain barrier (BBB) and/or abnormal vascularity.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67684-2001

What is NDC 67684-2001?
67684-2001 is the product NDC for Dotarem (gadoterate meglumine), Gadoterate meglumine 376.9 mg/mL injection, listed with the FDA by Guerbet LLC. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dotarem (Gadoterate meglumine).
What is the active ingredient?
Gadoterate meglumine.
Who is the labeler?
Guerbet LLC, NDC labeler code 67684. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dotarem?
2 other product NDCs are listed under this name. See all Dotarem NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Dotarem NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dotaremgadoterate meglumineGadoterate meglumine 376.9 mg/mLInjectionIntravenousGuerbet LLC67684-300167684-3001-0167684-3001-0267684-3001-03
Dotaremgadoterate meglumineGadoterate meglumine 376.9 mg/mLInjectionIntravenousGuerbet LLC67684-200067684-2000-0067684-2000-0167684-2000-02+1 more

Other NDCs under NDA 204781

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 204781
ProductStrengthForm · routeLabelerProduct NDC
Dotaremgadoterate meglumineGadoterate meglumine 376.9 mg/mLInjectionIntravenousGuerbet LLC67684-2000
Dotaremgadoterate meglumineGadoterate meglumine 376.9 mg/mLInjectionIntravenousGuerbet LLC67684-3001

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