| Source HCPCS Code |
|
Target NDC Code |
J2246
Injection, micafungin in sodium (baxter), not therapeutically equivalent to J2248, 1 mg
|
⇄
|
00338-9051-01
MICAFUNGIN 50 MG/50 ML-0.9% NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| 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 |
|
|
|
J2246
INJECTION, MICAFUNGIN IN SODIUM (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J2248, 1 MG
|
⇄
|
00338-9051-12
MICAFUNGIN IN SODIUM CHLORIDE (PF) 50 MG/50 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2246
Injection, micafungin in sodium (baxter), not therapeutically equivalent to J2248, 1 mg
|
⇄
|
00338-9053-01
MICAFUNGIN 100 MG/100-0.9%NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| 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 |
|
|
|
J2246
INJECTION, MICAFUNGIN IN SODIUM (BAXTER), NOT THERAPEUTICALLY EQUIVALENT TO J2248, 1 MG
|
⇄
|
00338-9053-12
MICAFUNGIN IN SODIUM CHLORIDE (PF) 100 MG/100 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J2246
Injection, micafungin in sodium (baxter), not therapeutically equivalent to J2248, 1 mg
|
⇄
|
00338-9055-01
MICAFUNGIN 150 MG/150-0.9% NACL
|
| Detail Information |
| Relationship Start Date |
10/30/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2246
Injection, micafungin in sodium (baxter), not therapeutically equivalent to J2248, 1 mg
|
⇄
|
00338-9055-10
MICAFUNGIN 150 MG/150-0.9% NACL
|
| Detail Information |
| Relationship Start Date |
10/30/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2246
Inj, micafungin (baxter)
|
⇄
|
00338-9051-12
Micafungin In Sodium Chloride
|
| 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 |
|
|
|
|
J2246
Inj, micafungin (baxter)
|
⇄
|
00338-9053-12
Micafungin In Sodium Chloride
|
| 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 |
|
|
|
|
J2246
Inj, micafungin (baxter)
|
⇄
|
00338-9055-10
Micafungin In Sodium Chloride
|
| 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 |
|
|
|
|