| Source HCPCS Code |
|
Target NDC Code |
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
00143-9379-01
MIDAZOLAM 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 |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
00143-9379-10
MIDAZOLAM 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 |
500 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
00143-9380-01
MIDAZOLAM 100 MG/100 ML-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 |
FLEC CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
00143-9380-10
MIDAZOLAM 100 MG/100 ML-0.9% NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2251
INJECTION, MIDAZOLAM IN 0.9% SODIUM CHLORIDE, INTRAVENOUS, NOT THERAPEUTICALLY EQUIVALENT TO J2250, 1 MG
|
⇄
|
25021-0688-82
MIDAZOLAM-SODIUM CHLORIDE 10X50ML 50 MG/50 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
05/15/2025 |
| 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 |
|
|
|
J2251
INJECTION, MIDAZOLAM IN 0.9% SODIUM CHLORIDE, INTRAVENOUS, NOT THERAPEUTICALLY EQUIVALENT TO J2250, 1 MG
|
⇄
|
25021-0688-87
MIDAZOLAM-SODIUM CHLORIDE SD 100 MG/100 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
05/15/2025 |
| 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 |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
44567-0610-01
MIDAZOLAM 50 MG/50 ML-0.9%NACL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| 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 |
|
|
|
J2251
INJECTION, MIDAZOLAM HYDROCHLORIDE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J2250, PER 1 MG
|
⇄
|
44567-0610-10
MIDAZOLAM-SODIUM CHLORIDE (10X50ML,PF) 50 MG/50 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
44567-0611-01
MIDAZOLAM 100 MG/100 ML-0.9%NACL
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| 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 |
|
|
|
J2251
INJECTION, MIDAZOLAM HYDROCHLORIDE (WG CRITICAL CARE), NOT THERAPEUTICALLY EQUIVALENT TO J2250, PER 1 MG
|
⇄
|
44567-0611-10
MIDAZOLAM-SODIUM CHLORIDE (10X100ML,PF) 100 MG/100 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| 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 |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
65219-0650-02
MIDAZOLAM 100 MG/100 ML-0.9%NACL
|
| Detail Information |
| Relationship Start Date |
03/19/2025 |
| 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 |
|
|
|
J2251
Inj., midazolam in 0.9 percent sodium chloride, IV, not therapeutically equivalent to J2250, 1 mg
|
⇄
|
65219-0650-05
MIDAZOLAM 50 MG/50 ML-0.9%NACL
|
| Detail Information |
| Relationship Start Date |
04/10/2025 |
| 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 |
|
|
|
J2251
INJECTION, MIDAZOLAM IN 0.9% SODIUM CHLORIDE, INTRAVENOUS, NOT THERAPEUTICALLY EQUIVALENT TO J2250, 1 MG
|
⇄
|
65219-0650-10
MIDAZOLAM-SODIUM CHLORIDE SD 100 MG/100 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
03/18/2025 |
| 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 |
|
|
|
J2251
INJECTION, MIDAZOLAM IN 0.9% SODIUM CHLORIDE, INTRAVENOUS, NOT THERAPEUTICALLY EQUIVALENT TO J2250, 1 MG
|
⇄
|
65219-0650-50
MIDAZOLAM-SODIUM CHLORIDE 10X50ML 50 MG/50 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
04/10/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
TB |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
65219-0650-10
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
65219-0650-50
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
00143-9379-10
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
00143-9380-10
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
25021-0688-82
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
25021-0688-87
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
44567-0610-10
Midazolam HCl
|
| 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 |
|
|
|
|
J2251
Inj midazolam in 0.9% nacl
|
⇄
|
44567-0611-10
Midazolam HCl
|
| 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 |
|
|
|
|