How much does Indium DTPA In 111 cost?

Pricing for Indium DTPA In 111 varies by insurance plan, dose, and pharmacy. Our database does not show a fixed cost because prices change faster than we can verify. For current pharmacy prices, check your insurance's formulary tier (in the prior-authorization section), use the GoodRx or Cost Plus Drugs deep links on this page, or ask your pharmacist to run a test claim. If a copay card is listed, it usually drops the out-of-pocket significantly for commercial insurance.

Does Indium DTPA In 111 need prior authorization?

Indium DTPA In 111 appears on 1 payer formulary in our database. PA requirements vary by payer — see the prior-authorization table on this page for specifics. In general, specialty and brand-name drugs are more likely to require PA than generic equivalents.

Is there a copay card or patient assistance program for Indium DTPA In 111?

We haven't verified an active copay card or PAP for Indium DTPA In 111 in our current data. Check NeedyMeds or RxAssist for independent directories, or submit what you find via our "Report a broken link" form.

What is Indium DTPA In 111 used to treat?

Indium DTPA In 111 (generic: Indium In-111 Pentetate Disodium) is indicated for Normal Pressure Hydrocephalus. Click any condition name on this page for more detail.

Does Indium DTPA In 111 have a generic version?

The generic name for Indium DTPA In 111 is Indium In-111 Pentetate Disodium. Whether a generic is currently available depends on patent status — check the FDA Orange Book or ask your pharmacist. Generics are often substantially cheaper than brand-name drugs.

Indium DTPA In 111

Generic: Indium In-111 Pentetate Disodium

Verified·Apr 23, 2026

Manufacturer: Curium
NDC: 17156-251
Route: INTRATHECAL
ICD-10 indication: G91.2

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About Indium DTPA In 111

What is this medication?

Indium DTPA In 111 is a radioactive diagnostic agent used by medical professionals to visualize the movement of cerebrospinal fluid within the central nervous system. It belongs to a class of drugs known as radiopharmaceuticals and contains a small amount of the radioactive isotope Indium-111. The medication is usually administered through a procedure called a lumbar puncture, where it is injected directly into the subarachnoid space surrounding the spinal cord. Once inside, the tracer travels through the fluid-filled cavities of the brain and spine, allowing a gamma camera to track its progress and detect any irregularities in how the fluid circulates.

The primary purpose of using Indium DTPA In 111 is to help diagnose conditions related to the flow and absorption of cerebrospinal fluid. It is frequently employed to locate the site of a cerebrospinal fluid leak or to investigate the causes of hydrocephalus, a condition involving an accumulation of fluid in the brain. Additionally, healthcare providers use this medication to verify that surgical shunts intended to redirect excess fluid are working properly. By mapping the specific path of the radioactive tracer, doctors can identify blockages or structural defects that might be contributing to neurological symptoms.

Copay & patient assistance

Detailed copay and financial assistance information is not publicly available for this medication at this time. Please consult your pharmacist or the manufacturer's official patient support program for more details.

External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.

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Cost Plus Drug Company

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GoodRx

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NeedyMeds

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Prescribing information

From the FDA-approved label for Indium DTPA In 111. Official source: DailyMed (NLM) · Label effective Jan 10, 2024

Indications and usage

INDICATIONS AND USAGE Pentetate Indium Disodium In 111 is recommended for use in radionuclide cisternography.

Dosage and administration

DOSAGE AND ADMINISTRATION Extreme care must be exercised to assure aseptic conditions in intrathecal injections. The maximum recommended intrathecal dose in the average patient (70 kg) is 18.5 MBq, 500 µ Ci. The patient dose should be measured by a suitable radioactivity calibration system immediately prior to administration. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.

Contraindications

CONTRAINDICATIONS None known.

Warnings

WARNINGS The contents of the vial are radioactive. Adequate shielding of the preparation must be maintained at all times. Since the drug is excreted by the kidneys, caution should be exercised in patients with severely impaired renal function.

Adverse reactions

ADVERSE REACTIONS Aseptic meningitis and pyrogenic reactions have been rarely (less than 0.4%) observed following cisternography with Pentetate lndium Disodium In 111. One death has been reported to have occurred within 20 minutes following the administration of Pentetate Indium Disodium In 111 and appears to be drug related. In addition, two cases of septic meningitis have also been reported. There have also been reports of skin reactions and vomiting following administration of Pentetate lndium Disodium In 111. Relationship of the drug to these latter occurrences has not been established.

Use in pregnancy

Pregnancy Category C Animal reproduction studies have not been conducted with GE Healthcare (Medi-Physics, Inc.) Indium DTPA In 111. Also, it is not known whether Pentetate Indium Disodium In 111 can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Pentetate Indium Disodium In 111 should be given to a pregnant woman only if clearly needed. Ideally, examinations using radiopharmaceuticals, especially those elective in nature, of a woman of childbearing capability should be performed during the first few (approximately 10) days following the onset of menses.

Label text is reproduced as-is from the FDA-approved label. We do not paraphrase, summarize, or omit. Content above is for informational purposes only and is not medical advice. Always consult your prescribing clinician or pharmacist before making decisions about your medication.

Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Normal Pressure Hydrocephalus

Prior authorization & coverage

Payer	PA	Step therapy	Copay tier
— Medicare Part D	—	—	—

Payer

Step therapy

Copay tier

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Medicare Part D

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Related drugs

How this page is sourced

Drug identity verified against openFDA NDC Directory.
Label text (when shown) originates from NLM DailyMed.
Copay and assistance URLs verified periodically; if you hit a broken link, tell us.