Multiple Manufacturers



Multiple Manufacturers

Clariscan HCPCS:


HCPCS Code Descriptor:

Injection, gadoterate meglumine, 0.1 ml


A Code

Clariscan NDCs:

00407-2943-70, 67684-2000-04, 67684-2001-04, 00407-2943-22, 65219-0088-50, 67684-2000-03, 00407-2943-05, 00407-2943-17, 67684-2000-02, 00407-2943-02, 67684-3001-03, 67684-2001-03, 00407-2943-12, 67684-2000-07, 67684-2000-01, 00407-2943-01, 67684-3001-02, 67684-2001-02, 67684-2000-06, 65219-0086-20, 67684-3001-01, 67684-2001-01, 67684-2000-00, 65219-0084-15, 67684-2000-05, 67684-2001-00, 00407-2943-06, 65219-0082-10, 65219-0080-05

Primary Type:


Generic/Specialty Status:


Route of Administration:


Potential NDC Listing Errors:

Our team has identified potential listing errors/discrepancies with the following NDCs:

00407-2943-70, 67684-2000-04, 67684-2001-04, 00407-2943-22, 00407-2943-05, 00407-2943-17, 00407-2943-02, 67684-3001-03, 67684-2001-03, 00407-2943-12, 67684-2000-01, 00407-2943-01, 67684-3001-02, 67684-2001-02, 67684-3001-01, 67684-2001-01, 67684-2000-00, 67684-2001-00, 00407-2943-06

About Clariscan:

CLARISCAN is an Imaging/Radiopharmaceutical drug manufactured by Ge Healthcare and administered via the Intravenous route of administration. The A Code: A9575 is aligned to the drug CLARISCAN.

Clariscan is an injection that belongs to a group of medicines called GBCAs, which stands for gadolinium-based contrast agents. Clariscan is administered to patients before an MRI scan. Clariscan helps make MRI images easier to read by calling attention to areas of the body with irregular vascularity. This helps doctors spot issues and makes diagnosing easier.


A9575 Added Date:

January 1, 2014

A9575 Effective Date:

January 1, 2014

A9575 Termination Date:

HCPCS Active

We have not yet identified a manufacturer source of Clariscan billing and coding information.
Our team did not identify a source for Clariscan patient assistance information. Please reach out to our team if you feel that this is a mistake.
CLARISCAN prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date.
Our team has not yet identified a source of side effects information for CLARISCAN. Please check back in a few weeks.