| Source HCPCS Code |
|
Target NDC Code |
J1742
INJECTION, IBUTILIDE FUMARATE, 1 MG
|
⇄
|
00009-3794-01
CORVERT (FLIP-TOP VIAL) 0.1 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1742
Injection, ibutilide fumarate, 1 mg
|
⇄
|
00009-3794-22
CORVERT 1 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/15/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1742
|
⇄
|
00009-3794-44
|
| 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 |
|
|
|
|
J1742
|
⇄
|
00574-0840-01
|
| 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 |
|
|
|
|
J1742
Injection, ibutilide fumarate, 1 mg
|
⇄
|
67457-0366-10
IBUTILIDE FUM 1 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1742
Ibutilide fumarate injection
|
⇄
|
67457-0366-10
IBUTILIDE FUMARATE
|
| 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 |
|
|
|
|
J1742
Ibutilide fumarate injection
|
⇄
|
00009-3794-01
Corvert
|
| 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 |
|
|
|
|
J1742
Ibutilide fumarate injection
|
⇄
|
00009-3794-22
Corvert
|
| 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 |
|
|
|
|