Google has just published the fully flashable image for the 4.0.4 update to the Verizon Galaxy Nexus (mysid). This allows users who either have been unable to receive the OTA due to using a custom ROM, or simply haven't updated, to flash their devices with a complete OS image, as opposed to using an incremental update file.
This will erase all of your data, so if you do flash it, be sure to back up your stuff. Again, this image is only for the Verizon Galaxy Nexus. To find basic instructions on how to go about flashing, check out the top of the download page.