Reimbursement

OMNIPAQUE Product and National Drug Codes (NDCs)

Omnipaque is available in a wide range of sizes in +PLUSPAK (polymer bottle), conventional glass bottles, and in handheld prefilled syringes.

Code NDC Description
Omnipaque 140 +PLUSPAK™
Y510 0407-1401-52 140 mgl/mL +PLUSPAK of 50 mL
Omnipaque 240 +PLUSPAK™
Y520 0407-1412-30 240 mgl/mL +PLUSPAK of 50 mL
Y522 0407-1412-33 240 mgl/mL +PLUSPAK of 100 mL
Y524 0407-1412-34 240 mgl/mL +PLUSPAK of 150 mL
Y526 0407-1412-35 240 mgl/mL +PLUSPAK of 200 mL
Omnipaque 300 +PLUSPAK™
Y530 0407-1413-61 300 mgl/mL +PLUSPAK of 50 mL
Y531 0407-1413-62 300 mgl/mL +PLUSPAK of 75 mL
Y532 0407-1413-63 300 mgl/mL +PLUSPAK of 100 mL
Y534 0407-1413-65 300 mgl/mL +PLUSPAK of 150 mL
Y536 0407-1413-66 300 mgl/mL +PLUSPAK of 200 mL
Y538B 0407-1413-68 300 mgl/mL +PLUSPAK of 500 mL (Pharmacy Bulk Package)
Omnipaque 350 +PLUSPAK™
Y540 0407-1414-89 350 mgl/mL +PLUSPAK of 50 mL
Y541 0407-1414-90 350 mgl/mL +PLUSPAK of 75 mL
Y542 0407-1414-91 350 mgl/mL +PLUSPAK of 100 mL
Y544 0407-1414-93 350 mgl/mL +PLUSPAK of 150 mL
Y546 0407-1414-94 350 mgl/mL +PLUSPAK of 200 mL
Y548B 0407-1414-98 350 mgl/mL +PLUSPAK of 500 mL (Pharmacy Bulk Package)
Omnipaque 140
Y552 0407-1401-51 140 mgl/mL bottle of 50 mL
Omnipaque 240
Y252 0407-1412-51 240 mgl/mL bottle of 50 mL
Y250 0407-1412-50 240 mgl/mL vial of 50 mL
Y213 0407-1412-60 240 mgl/mL bottle of 100 mL
Y212 0407-1412-49 240 mgl/mL bottle of 150 mL
Omnipaque 300
Y307 0407-1413-30 300 mgl/mL vial of 30 mL
Y308 0407-1413-50 300 mgl/mL vial of 50 mL
Y352 0407-1413-51 300 mgl/mL bottle of 50 mL
Y313 0407-1413-60 300 mgl/mL bottle of 100 mL
Y356 0407-1413-53 300 mgl/mL bottle of 125 mL
Y318 0407-1413-90 300 mgl/mL bottle of 150 mL
Omnipaque 350
Y452 0407-1414-51 350 mgl/mL bottle of 50 mL
Y410 0407-1414-50 350 mgl/mL vial of 50 mL
Y413 0407-1414-60 350 mgl/mL bottle of 100 mL
Y420 0407-1414-76 350 mgl/mL bottle of 125 mL
Y415 0407-1414-03 350 mgl/mL bottle of 150 mL
Y416 0407-1414-04 350 mgl/mL bottle of 200 mL
Y430 0407-1414-80 350 mgl/mL bottle of 250 mL
Omnipaque +PLUSPAK for Oral Administration
Y520 0407-1412-30 240 mgl/mL +PLUSPAK of 50 mL
Y530 0407-1412-61 300 mgl/mL +PLUSPAK of 50 mL
Y540 0407-1412-89 350 mgl/mL +PLUSPAK of 50 mL
Omnipaque Myelographic Packages
Y101 0407-1411-10 180 mgl/mL vial of 10 mL
Y102 0407-1411-20 180 mgl/mL vial of 20 mL
Y203 0407-1412-10 240 mgl/mL vial of 10 mL
Y220 0407-1412-20 240 mgl/mL vial of 20 mL
Y306 0407-1413-10 300 mgl/mL vial of 10 mL
Omnipaque Handheld Prefilled Syringe
Y820 0407-1412-24 240 mgl/mL single-dose prefilled syringe of 50 mL
Y830 0407-1413-25 300 mgl/mL single-dose prefilled syringe of 50 mL
Y840 0407-1414-26 350 mgl/mL single-dose prefilled syringe of 50 mL
I 494
CT multiuse vented transfer set with swabbable valve - custome designed for use with +PLUSPAK. The I 494 includes a spike designed for optimal venting and ease of use.

 



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