| Source HCPCS Code |
|
Target NDC Code |
J0525
INJECTION, CEFOTETAN DISODIUM, 10 MG
|
⇄
|
00121-0976-10
CEFOTAN 1 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 |
IJ |
| Billing Units |
EA |
|
|
|
J0525
Injection, cefotetan disodium, 10 mg
|
⇄
|
00121-0976-55
CEFOTAN 1 GM VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
GM |
|
|
|
J0525
INJECTION, CEFOTETAN DISODIUM, 10 MG
|
⇄
|
00121-0977-10
CEFOTAN 2 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 |
IJ |
| Billing Units |
EA |
|
|
|
J0525
Injection, cefotetan disodium, 10 mg
|
⇄
|
00121-0977-55
CEFOTAN 2 GM VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
GM |
|
|
|
J0525
Injection, cefotetan disodium, 10 mg
|
⇄
|
63323-0385-01
CEFOTETAN 1 GM VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0525
INJECTION, CEFOTETAN DISODIUM, 10 MG
|
⇄
|
63323-0385-10
CEFOTETAN DISODIUM 1 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 |
IJ |
| Billing Units |
EA |
|
|
|
J0525
Injection, cefotetan disodium, 10 mg
|
⇄
|
63323-0386-01
CEFOTETAN 2 GM VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0525
INJECTION, CEFOTETAN DISODIUM, 10 MG
|
⇄
|
63323-0386-20
CEFOTETAN DISODIUM 2 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 |
IJ |
| Billing Units |
EA |
|
|
|