| Source HCPCS Code |
|
Target NDC Code |
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
00074-3778-04
NEMBUTAL SODIUM (DO NOT REFRIGERATE) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/10/2003 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
00074-3778-05
NEMBUTAL SODIUM (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/10/2003 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
17478-0181-20
NEMBUTAL NOVAPLUS (MDV;USP,LATEX-FREE) 50 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/03/2019 |
| Relationship End Date |
03/17/2022 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
17478-0181-50
NEMBUTAL NOVAPLUS (MDV;USP,LATEX-FREE) 50 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
06/03/2019 |
| Relationship End Date |
03/17/2022 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
24201-0010-20
PENTOBARBITAL SODIUM (MDV,LATEX-FREE) 50 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/23/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
24201-0010-50
PENTOBARBITAL SODIUM (MDV,LATEX-FREE) 50 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
03/13/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
25021-0676-20
PENTOBARBITAL SODIUM (MDV,PF,LATEX-FREE) 50 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/10/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
25021-0676-50
PENTOBARBITAL SODIUM (MDV,PF,LATEX-FREE) 50 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/29/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
38779-2144-04
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/23/2002 |
| Relationship End Date |
10/9/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
38779-2144-05
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/23/2002 |
| Relationship End Date |
10/9/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
38779-2144-08
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/23/2002 |
| Relationship End Date |
10/9/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
49452-5073-01
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/8/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
49452-5073-02
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/8/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
49452-5073-03
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/8/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
51927-3613-00
PENTOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
03/26/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
67386-0501-52
NEMBUTAL SODIUM 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/11/2003 |
| Relationship End Date |
5/31/2012 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
INJECTION, PENTOBARBITAL SODIUM, PER 50 MG
|
⇄
|
67386-0501-55
NEMBUTAL SODIUM (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/11/2003 |
| Relationship End Date |
5/31/2012 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
Injection, pentobarbital sodium, per 50 mg
|
⇄
|
76478-0501-20
NEMBUTAL SODIUM 1,000 MG/20
|
| Detail Information |
| Relationship Start Date |
05/18/2021 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
Injection, pentobarbital sodium, per 50 mg
|
⇄
|
76478-0501-50
NEMBUTAL SODIUM 2,500 MG/50
|
| Detail Information |
| Relationship Start Date |
05/18/2021 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2515
Pentobarbital sodium inj
|
⇄
|
24201-0010-20
Pentobarbital
|
| 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 |
|
|
|
|
J2515
Pentobarbital sodium inj
|
⇄
|
24201-0010-50
Pentobarbital
|
| 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 |
|
|
|
|
J2515
Pentobarbital sodium inj
|
⇄
|
25021-0676-20
Pentobarbital
|
| 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 |
|
|
|
|
J2515
Pentobarbital sodium inj
|
⇄
|
25021-0676-50
Pentobarbital
|
| 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 |
|
|
|
|