Kit for the Preparation of Technetium Tc99m Sestamibi

Product NDC
11994-003
11-digit product format
119940003
Labeler code
11994
Product ID
11994-003_517b7337-3529-4948-8d02-b8e2cf97a161
Type
HUMAN PRESCRIPTION DRUG
Nonproprietary name
TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE
Dosage form
INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
Route
INTRAVENOUS
Labeler
Lantheus Medical Imaging, Inc.
Application
NDA019785
Marketing category
NDA
Marketing start
1990-12-20
Substance
TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE
Active strength
1 mg/mL
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
Kit for the Preparation of Technetium Tc99m Sestamibi
Listing expiration
2026-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE1 mg/mL

Harmonized Identifiers#

Field, Values table
FieldValues
UniiN6OU7HJ70P

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
2e254488-9fcb-41b3-a7c3-e2c9a3941b29Product name120200603
b4ff0805-126a-406d-9cae-fc34fd8e8889Product name120190711

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
11994-003-20Kit for the Preparation of Technetium Tc99m Sestamibi5 mL in 1 VIALINJECTION, POWDER, LYOPHILIZED,55
11994-003-20Kit for the Preparation of Technetium Tc99m Sestamibi20 in 1 BOXINJECTION, POWDER, LYOPHILIZED,205

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
11994-003-20EA - Each11994-003c59d7b8f-c44a-44e7-9751-366b9aa3297612023-02-06

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIIDailyMed labelSPL versionUploaded
TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATEACTIVE INGREDIENTN6OU7HJ70PKIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]1
TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATEACTIVE MOIETYN6OU7HJ70PKIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]1
CYSTEINE HYDROCHLORIDEINACTIVE INGREDIENTZT934N0X4WKIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]1
MANNITOLINACTIVE INGREDIENT3OWL53L36AKIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]1
STANNOUS CHLORIDEINACTIVE INGREDIENT1BQV3749L5KIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]1
TRISODIUM CITRATE DIHYDRATEINACTIVE INGREDIENTB22547B95KKIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]1

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
11994-003KIT FOR THE PREPARATION OF TECHNETIUM TC99M SESTAMIBI (TETRAKIS(2-METHOXYISOBUTYLISOCYANIDE)COPPER(I) TETRAFLUOROBORATE) INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION [LANTHEUS MEDICAL IMAGING, INC.]5Current NDC, Legacy NDC, 2 package rows20221123_8c03a854-185a-45d7-883f-9f87e4750181.zip

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startMarketing endSampleExclude flagStatus
11994-003-201199400032020 VIAL in 1 BOX (11994-003-20) / 5 mL in 1 VIAL20 vial1990-12-200000-00-00NoNoCurrent