| Source HCPCS Code |
|
Target NDC Code |
J2373
Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms
|
⇄
|
00641-6245-01
IMMPHENTIV 500 MCG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J2373
INJECTION, PHENYLEPHRINE HYDROCHLORIDE (IMMPHENTIV), 20 MICROGRAMS
|
⇄
|
00641-6245-10
IMMPHENTIV (SDV,LATEX-FREE) 100 MCG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J2373
Injection, phenylephrine hydrochloride (immphentiv), 20 micrograms
|
⇄
|
00641-6246-01
IMMPHENTIV 1,000 MCG/10 ML VL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| 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 |
|
|
|
J2373
INJECTION, PHENYLEPHRINE HYDROCHLORIDE (IMMPHENTIV), 20 MICROGRAMS
|
⇄
|
00641-6246-10
IMMPHENTIV (SDV,LATEX-FREE) 100 MCG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2373
Inj, immphentiv, 20 mcg
|
⇄
|
00641-6245-10
Immphentiv
|
| 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 |
|
|
|
|
J2373
Inj, immphentiv, 20 mcg
|
⇄
|
00641-6246-10
Immphentiv
|
| 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 |
|
|
|
|