| Source HCPCS Code |
|
Target NDC Code |
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00143-9281-01
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
09/02/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00143-9281-10
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
08/28/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00143-9282-01
LEVETIRACETAM-SODIUM CHLORIDE 1,000 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
09/02/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00143-9282-10
LEVETIRACETAM-SODIUM CHLORIDE 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
08/28/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00143-9283-01
LEVETIRACETAM-SODIUM CHLORIDE 1,500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
09/02/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00143-9283-10
LEVETIRACETAM-SODIUM CHLORIDE 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
08/28/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00143-9574-01
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
07/10/2015 |
| Relationship End Date |
05/23/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00143-9574-25
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
07/10/2015 |
| Relationship End Date |
05/23/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00143-9673-01
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
03/28/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
|
⇄
|
00143-9673-10
|
| 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 |
|
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00143-9673-25
LEVETIRACETAM 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/29/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00264-1009-90
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
05/13/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00264-1509-90
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
05/13/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00264-5009-90
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
05/13/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00264-9009-90
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
05/13/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00409-1886-02
LEVETIRACETAM 500 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00409-1886-05
PREMIERPRO RX LEVETIRACETAM (SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/29/2018 |
| Relationship End Date |
04/12/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00409-1886-15
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
11/02/2012 |
| Relationship End Date |
01/31/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00409-1886-22
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
11/02/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
00409-2011-05
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
11/02/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
00409-2011-25
LEVETIRACETAM NOVAPLUS (25X5ML;USP;SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/01/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
|
⇄
|
00517-3605-25
|
| 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 |
|
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
14789-0110-05
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
07/20/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
14789-0110-08
LEVETIRACETAM-NACL 500 MG/1
|
| Detail Information |
| Relationship Start Date |
07/22/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
14789-0220-08
LEVETIRACETAM-NACL 1,000MG/
|
| Detail Information |
| Relationship Start Date |
07/22/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
14789-0220-10
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
07/20/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
14789-0330-08
LEVETIRACETAM-NACL 1,500MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
14789-0330-15
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
07/20/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
|
⇄
|
14789-0400-05
|
| 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 |
|
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
25021-0780-05
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
25021-0793-82
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
10/30/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
25021-0794-82
LEVETIRACETAM-SODIUM CHLORIDE 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
10/30/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
25021-0795-82
LEVETIRACETAM-SODIUM CHLORIDE 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
10/30/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
36000-0352-01
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
11/20/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
36000-0352-40
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
10/14/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
36000-0354-01
LEVETIRACETAM-SODIUM CHLORIDE 1,500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
11/14/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
36000-0354-40
LEVETIRACETAM-SODIUM CHLORIDE 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
10/14/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
36000-0356-01
LEVETIRACETAM-SODIUM CHLORIDE 1,000 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
11/20/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
36000-0356-40
LEVETIRACETAM-SODIUM CHLORIDE 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
10/14/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
|
⇄
|
39822-4000-01
|
| 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 |
|
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43547-0454-10
LEVETIRACETAM (SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43547-0454-41
LEVETIRACETAM 500 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/05/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0635-10
LEVETIRACETAM (10X100ML) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0635-52
LEVETIRACETAM (1X100ML, INNER PACK) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0636-10
LEVETIRACETAM (10X100ML) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0636-52
LEVETIRACETAM (1X100ML, INNER PACK) 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0637-10
LEVETIRACETAM (10X100ML) 15 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0637-52
LEVETIRACETAM (1X100ML, INNER PACK) 15 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0755-10
LEVETIRACETAM-SODIUM CHLORIDE NOVAPLUS (LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
04/17/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
43598-0755-52
LEVETIRACETAM-NACL 500 MG/1
|
| Detail Information |
| Relationship Start Date |
06/18/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0757-10
LEVETIRACETAM-SODIUM CHLORIDE NOVAPLUS (LATEX-FREE) 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
04/17/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
43598-0757-52
LEVETIRACETAM-NACL 1,000MG/
|
| Detail Information |
| Relationship Start Date |
06/18/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
43598-0759-10
LEVETIRACETAM-SODIUM CHLORIDE NOVPALUS (LATEX-FREE) 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
04/17/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
43598-0759-52
LEVETIRACETAM-NACL 1,500MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
44567-0500-01
LEVETIRACETAM-NACL 250 MG/5
|
| Detail Information |
| Relationship Start Date |
08/18/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
44567-0500-10
LEVETIRACETAM (10X50ML,LATEX-FREE) 5 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/20/2022 |
| Relationship End Date |
09/04/2025 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
44567-0501-01
LEVETIRACETAM-NACL 500 MG/1
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
44567-0501-02
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
02/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
44567-0501-10
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
05/30/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
44567-0501-90
PREMIERPRO RX LEVETIRACETAM (LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
05/12/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
44567-0502-01
LEVETIRACETAM-NACL 1,000MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
44567-0502-10
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
05/30/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
44567-0503-01
LEVETIRACETAM-NACL 1,500MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
44567-0503-10
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
05/30/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
50474-0002-63
KEPPRA 500 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
51224-0013-01
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
12/01/2018 |
| Relationship End Date |
05/15/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
51224-0013-10
LEVETIRACETAM (10X5ML,SINGLE-USE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/10/2018 |
| Relationship End Date |
11/27/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
51224-0013-25
LEVETIRACETAM (SINGLE-USE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/10/2018 |
| Relationship End Date |
04/01/2025 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
55150-0177-05
LEVETIRACETAM (LATEX-FREE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/21/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
55150-0246-47
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
01/06/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
55150-0247-47
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
01/06/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
55150-0248-47
LEVETIRACETAM-SODIUM CHLORIDE (LATEX-FREE) 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
01/06/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
|
⇄
|
62756-0513-44
|
| 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 |
|
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
63323-0400-01
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
63323-0400-05
LEVETIRACETAM (SINGLE USE,LATEX-FREE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/13/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
|
⇄
|
63323-0400-09
|
| 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 |
|
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
63323-0400-41
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
06/03/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
63323-0400-44
PREMIERPRO RX LEVETIRACETAM (LATEX-FREE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/25/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
65145-0173-10
LEVETIRACETAM-SODIUM CHLORIDE 500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/28/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
65145-0174-10
LEVETIRACETAM-SODIUM CHLORIDE 1,000 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/28/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
65145-0175-10
LEVETIRACETAM-SODIUM CHLORIDE 1,500 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/28/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
65219-0042-71
levETIRAcetam-Sodium Chloride 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
11/24/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
65219-0044-71
levETIRAcetam-Sodium Chloride 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
11/24/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
65219-0046-71
levETIRAcetam-Sodium Chloride 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
11/24/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0255-00
LEVETIRACETAM-NACL 500 MG/100
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0255-10
LEVETIRACETAM-NACL 500 MG/100
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0265-00
LEVETIRACETAM-NACL 1,000MG/100
|
| Detail Information |
| Relationship Start Date |
01/16/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0265-10
LEVETIRACETAM-NACL 1,000MG/100
|
| Detail Information |
| Relationship Start Date |
01/16/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0266-00
LEVETIRACETAM-NACL 1,500MG/100
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0266-10
LEVETIRACETAM-NACL 1,500MG/100
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
67457-0790-00
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
07/24/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
67457-0790-05
LEVETIRACETAM (SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/24/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
68094-0313-01
LEVETIRACETAM 500 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/31/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
68094-0313-10
LEVETIRACETAM (SINGLE-USE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/23/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
68094-0313-25
LEVETIRACETAM (SINGLE-USE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/23/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
70860-0602-41
LEVETIRACETAM-NACL 500 MG/1
|
| Detail Information |
| Relationship Start Date |
06/28/2018 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
70860-0602-82
LEVETIRACETAM-SODIUM CHLORIDE (PF,LATEX-FREE) 500 MG/100 ML-0.82%
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
70860-0603-41
LEVETIRACETAM-NACL 1,000MG/
|
| Detail Information |
| Relationship Start Date |
06/29/2018 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
70860-0603-82
LEVETIRACETAM-SODIUM CHLORIDE (PF,LATEX-FREE) 1000 MG/100 ML-0.75%
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
70860-0604-41
LEVETIRACETAM-NACL 1,500MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
03/31/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
70860-0604-82
LEVETIRACETAM-SODIUM CHLORIDE (PF,LATEX-FREE) 1500 MG/100 ML-0.54%
|
| Detail Information |
| Relationship Start Date |
06/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
72205-0120-01
LEVETIRACETAM 500 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/29/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
72205-0120-07
LEVETIRACETAM (SDV,PF,LATEX-FREE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/03/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
72205-0120-25
LEVETIRACETAM (SDV,PF,LATEX-FREE) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/03/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Injection, levetiracetam, 10 mg
|
⇄
|
72485-0106-01
LEVETIRACETAM 500 MG/5 ML V
|
| Detail Information |
| Relationship Start Date |
02/01/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
72485-0106-10
LEVETIRACETAM (10X5ML;USP;SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/29/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
72485-0106-25
LEVETIRACETAM (25X5ML;USP;SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/14/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
72572-0360-01
LEVETIRACETAM (SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/16/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
INJECTION, LEVETIRACETAM, 10 MG
|
⇄
|
72572-0360-25
LEVETIRACETAM (SDV) 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/16/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1953
Levetiracetam injection
|
⇄
|
72485-0106-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
72485-0106-25
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
70860-0602-82
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
70860-0603-82
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
70860-0604-82
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00264-1009-90
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00264-1509-90
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00264-5009-90
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
36000-0352-40
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
36000-0354-40
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
36000-0356-40
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
65145-0173-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
65145-0174-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
65145-0175-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
72572-0360-25
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
43598-0635-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
43598-0636-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
43598-0637-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
43598-0755-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
43598-0757-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
43598-0759-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
55150-0177-05
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
55150-0246-47
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
55150-0247-47
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
55150-0248-47
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
63323-0400-05
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
63323-0400-44
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00143-9281-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00143-9282-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00143-9283-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00143-9574-25
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00143-9673-25
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
67457-0255-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
67457-0265-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
67457-0266-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
67457-0790-05
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
14789-0110-05
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
14789-0220-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
14789-0330-15
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
72205-0120-07
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
72205-0120-25
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00409-1886-02
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
00409-2011-25
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
25021-0780-05
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
25021-0793-82
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
25021-0794-82
Levetiracetam
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
|
| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
25021-0795-82
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
50474-0002-63
Keppra
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
44567-0500-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
44567-0501-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
44567-0501-90
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
44567-0502-10
Levetiracetam
|
| 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 |
|
|
|
|
J1953
Levetiracetam injection
|
⇄
|
44567-0503-10
Levetiracetam
|
| 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 |
|
|
|
|