| Source HCPCS Code |
|
Target NDC Code |
C9254
Injection, lacosamide, 1 mg
|
⇄
|
00131-1810-67
VIMPAT 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
13811-0207-40
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
08/14/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
25021-0791-20
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/13/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
31722-0203-20
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
31722-0203-31
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
31722-0203-33
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/29/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
43598-0087-11
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
43598-0087-58
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/26/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
60505-6235-00
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/19/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
60505-6235-04
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/19/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
INJECTION, LACOSAMIDE, 1 MG
|
⇄
|
65219-0204-01
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/12/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
INJECTION, LACOSAMIDE, 1 MG
|
⇄
|
65219-0204-20
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/12/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
69367-0352-10
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/02/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
69367-0352-20
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/02/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
69543-0455-10
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
05/16/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
69543-0455-20
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
05/16/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
70069-0471-01
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
70069-0471-10
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/04/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
70710-1359-01
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
08/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
70710-1359-06
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
08/03/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
70710-1886-01
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
70710-1886-06
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72205-0220-01
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
INJECTION, LACOSAMIDE, 1 MG
|
⇄
|
72205-0220-07
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72266-0242-01
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72266-0242-05
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72603-0140-01
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72603-0140-02
LACOSAMIDE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72603-0263-01
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/29/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
C9254
Injection, lacosamide, 1 mg
|
⇄
|
72603-0263-02
LACOSAMIDE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/29/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|