| Source HCPCS Code |
|
Target NDC Code |
J2516
Injection, pentamidine isethionate, 1 mg
|
⇄
|
13925-0515-01
PENTAMIDINE 300 MG INJECT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2516
INJECTION, PENTAMIDINE ISETHIONATE, 1 MG
|
⇄
|
13925-0515-10
PENTAMIDINE ISETHIONATE SDV,LYOPHILIZED 300 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2516
Injection, pentamidine isethionate, 1 mg
|
⇄
|
23155-0748-31
PENTAMIDINE 300 MG INJECT VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2516
INJECTION, PENTAMIDINE ISETHIONATE, 1 MG
|
⇄
|
23155-0748-41
PENTAMIDINE ISETHIONATE LYOPHILIZED 300 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2516
Injection, pentamidine isethionate, 1 mg
|
⇄
|
63323-0113-01
PENTAM 300 MG VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2516
INJECTION, PENTAMIDINE ISETHIONATE, 1 MG
|
⇄
|
63323-0113-10
PENTAM S.D.V. 300 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2516
Pentamidine non-comp unit
|
⇄
|
23155-0748-41
Pentamidine Isethionate
|
| 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 |
|
|
|
|