| Source HCPCS Code |
|
Target NDC Code |
J0874
Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
|
⇄
|
00338-0712-24
DAPTOMYCIN 350 MG/50 ML-NS
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0874
Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
|
⇄
|
00338-0714-24
DAPTOMYCIN 500 MG/50 ML-NS
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0874
Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
|
⇄
|
00338-0716-12
DAPTOMYCIN 700 MG/100ML-NS
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0874
Inj, daptomycin (baxter), not therapeutically equivalent to j0878, 1 mg
|
⇄
|
00338-0718-12
DAPTOMYCIN 1,000 MG/100 ML-
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|