| Source HCPCS Code |
|
Target NDC Code |
J8612
Methotrexate (xatmep), oral, 2.5 mg
|
⇄
|
52652-2001-01
XATMEP 2.5 MG/ML ORAL SOLUTION
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8612
Methotrexate (xatmep), oral, 2.5 mg
|
⇄
|
52652-2001-06
XATMEP 2.5 MG/ML ORAL SOLUTION
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
07/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8612
Oral methotrexate (xatmep)
|
⇄
|
52652-2001-01
Xatmep
|
| 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 |
|
|
|
|
J8612
Oral methotrexate (xatmep)
|
⇄
|
52652-2001-06
Xatmep
|
| 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 |
|
|
|
|