| Source HCPCS Code |
|
Target NDC Code |
J0458
Injection, aztreonam/avibactam, 7.5 mg/2.5 mg (10 mg)
|
⇄
|
00074-3878-01
EMBLAVEO 2 GM VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
GM |
|
|
|
J0458
INJECTION, AZTREONAM/AVIBACTAM, 7.5 MG/2.5 MG (10 MG)
|
⇄
|
00074-3878-10
EMBLAVEO 0.5 GM-1.5 GM
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0458
Aztreonam/avibactam 10 mg
|
⇄
|
00074-3878-10
Emblaveo
|
| 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 |
|
|
|
|