| Source HCPCS Code |
|
Target NDC Code |
J2472
Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg
|
⇄
|
00338-9644-01
PANTOPRAZOLE SOD 40 MG/100 ML-0.9% NACL BAG
|
| 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 |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2472
INJECTION, PANTOPRAZOLE SODIUM IN SODIUM CHLORIDE (BAXTER), 40 MG
|
⇄
|
00338-9644-12
PANTOPRAZOLE SODIUM-SODIUM CHLORIDE FROZEN 40 MG/100 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| 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 |
|
|
|
J2472
Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg
|
⇄
|
00338-9646-01
PANTOPRAZOLE SOD 40 MG/50 ML-0.9% NACL BAG
|
| 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 |
|
|
|
J2472
INJECTION, PANTOPRAZOLE SODIUM IN SODIUM CHLORIDE (BAXTER), 40 MG
|
⇄
|
00338-9646-24
PANTOPRAZOLE SODIUM-SODIUM CHLORIDE FROZEN 40 MG/50 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| 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 |
|
|
|
J2472
Injection, pantoprazole sodium in sodium chloride (baxter), 40 mg
|
⇄
|
00338-9648-01
PANTOPRAZOLE SOD 80 MG/100 ML-0.9% NACL BAG
|
| 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 |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J2472
INJECTION, PANTOPRAZOLE SODIUM IN SODIUM CHLORIDE (BAXTER), 40 MG
|
⇄
|
00338-9648-12
PANTOPRAZOLE SODIUM-SODIUM CHLORIDE FROZEN 80 MG/100 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| 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 |
|
|
|