| Source HCPCS Code |
|
Target NDC Code |
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
00013-1114-01
CYKLOKAPRON 1,000 MG/10 ML AMP
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
00013-1114-15
CYKLOKAPRON 1,000 MG/10 ML AMP
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
00013-1114-20
CYKLOKAPRON 1,000 MG/10 ML VL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
00013-1114-21
CYKLOKAPRON 1,000 MG/10 ML VL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
14789-0115-05
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
23155-0166-31
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
23155-0166-41
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
23155-0524-31
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
23155-0524-41
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
23155-0909-31
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
23155-0909-41
TRANEXAMIC ACID SD 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
23155-0910-31
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
23155-0910-41
TRANEXAMIC ACID SDV 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
25021-0415-10
TRANEXAMIC ACID SDV 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
25021-0415-66
PREMIERPRO RX TRANEXAMIC ACID SDV 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
11/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
25021-0418-82
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
39822-1000-01
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
43066-0008-01
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
43066-0008-10
TRANEXAMIC ACID 10X10ML;SD;USP 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
51754-0108-01
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
51754-0108-03
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
55150-0188-10
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
60505-6169-00
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
60505-6169-01
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
61990-0611-00
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
61990-0611-02
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
63323-0563-10
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
10/02/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
65219-0534-01
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
65219-0534-10
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
67457-0197-00
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
67457-0197-10
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
72485-0107-01
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2026 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
72485-0107-10
TRANEXAMIC ACID SDV;USP 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
72485-0510-01
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
72485-0510-10
TRANEXAMIC ACID SDV;USP 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
72603-0387-01
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
72603-0387-10
TRANEXAMIC ACID SDV;USP 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
80830-2329-01
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
80830-2329-02
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
80830-2329-03
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
81284-0611-00
TRANEXAMIC ACID SDV 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
81284-0611-10
TRANEXAMIC ACID SDV 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
81284-0612-00
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
INJECTION, TRANEXAMIC ACID, 5 MG
|
⇄
|
81284-0612-10
TRANEXAMIC ACID NOVAPLUS 100 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
83634-0401-10
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J3290
Injection, tranexamic acid, 5 mg
|
⇄
|
83634-0401-41
TRANEXAMIC ACID 1,000 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| 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 |
|
|
|