| Source HCPCS Code |
|
Target NDC Code |
J2471
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
|
⇄
|
00143-9284-01
PANTOPRAZOLE SODIUM 40 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2471
INJECTION, PANTOPRAZOLE (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J2470, 40 MG
|
⇄
|
00143-9284-10
PANTOPRAZOLE SODIUM (SDV,LYOPHILIZED) 40 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2471
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
|
⇄
|
00143-9300-01
PANTOPRAZOLE SODIUM 40 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2471
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
|
⇄
|
00143-9300-10
PANTOPRAZOLE SODIUM 40 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2471
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
|
⇄
|
72572-0553-01
PANTOPRAZOLE SODIUM 40 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/07/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2471
INJECTION, PANTOPRAZOLE (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J2470, 40 MG
|
⇄
|
72572-0553-10
PANTOPRAZOLE SODIUM SDV,LYOPHILIZED 40 MG
|
| Detail Information |
| Relationship Start Date |
07/14/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|