| Source HCPCS Code |
|
Target NDC Code |
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
00143-9098-01
BORTEZOMIB (SDV,LATEX-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
07/27/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
10019-0991-01
BORTEZOMIB (SDV,PF,LYOPHILIZED) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
25021-0244-10
BORTEZOMIB (SDV,PF,LATEX-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
05/02/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
43598-0865-60
BORTEZOMIB (SDV,LYOPHILIZED) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
11/14/2019 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
50742-0484-01
BORTEZOMIB (SDV,PF,LYOPHILIZED) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
05/03/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
55150-0337-01
BORTEZOMIB (SDV,LATEX-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
60505-6050-04
BORTEZOMIB (SDV,PF,SF,DYE-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
05/02/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
63323-0721-10
BORTEZOMIB, (SDV,LATEX-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
68001-0540-36
BORTEZOMIB (SDV,LYOPHILIZED) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
07/05/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
68001-0541-36
BORTEZOMIB (SDV,PF,LATEX-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
08/22/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9044
INJECTION, BORTEZOMIB, NOT OTHERWISE SPECIFIED, 0.1 MG
|
⇄
|
70710-1411-01
BORTEZOMIB (SDV,LATEX-FREE) 3.5 MG
|
| Detail Information |
| Relationship Start Date |
05/02/2022 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|