| Source HCPCS Code |
|
Target NDC Code |
J0759
Injection, clevidipine butyrate, 1 mg
|
⇄
|
10122-0610-01
CLEVIPREX 25 MG/50 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0759
Injection, clevidipine butyrate, 1 mg
|
⇄
|
10122-0610-10
CLEVIPREX 25 MG/50 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0759
Injection, clevidipine butyrate, 1 mg
|
⇄
|
10122-0611-01
CLEVIPREX 50 MG/100 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0759
Injection, clevidipine butyrate, 1 mg
|
⇄
|
10122-0611-10
CLEVIPREX 50 MG/100 ML VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0759
Inj, clevidipine, 1 mg
|
⇄
|
10122-0610-10
Cleviprex
|
| 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 |
|
|
|
|
J0759
Inj, clevidipine, 1 mg
|
⇄
|
10122-0611-10
Cleviprex
|
| 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 |
|
|
|
|