| Source HCPCS Code |
|
Target NDC Code |
J1574
Injection, ganciclovir sodium (exela) not therapeutically equivalent to j1570, 500 mg
|
⇄
|
51754-2500-01
GANCICLOVIR 500 MG/250 ML B
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1574
INJECTION, GANCICLOVIR SODIUM (EXELA) NOT THERAPEUTICALLY EQUIVALENT TO J1570, 500 MG
|
⇄
|
51754-2500-03
GANCICLOVIR-SODIUM CHLORIDE (PF) 500 MG/250 ML-0.8%
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
250 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|