| Source HCPCS Code |
|
Target NDC Code |
J0122
Inj, eravacycline, 1 mg
|
⇄
|
71773-0050-05
XERAVA 50 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0122
INJECTION, ERAVACYCLINE, 1 MG
|
⇄
|
71773-0050-12
XERAVA (PF,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
CR |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0122
Inj, eravacycline, 1 mg
|
⇄
|
71773-0100-05
XERAVA 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
12/23/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0122
INJECTION, ERAVACYCLINE, 1 MG
|
⇄
|
71773-0100-12
XERAVA (SDV,PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
10/26/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0122
Inj., eravacycline, 1 mg
|
⇄
|
71773-0050-12
Xerava
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J0122
Inj., eravacycline, 1 mg
|
⇄
|
71773-0100-12
Xerava
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|