| Source HCPCS Code |
|
Target NDC Code |
J9250
|
⇄
|
00069-0146-02
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00069-0147-02
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00069-0148-01
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00069-0149-01
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00069-0181-02
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00069-0204-10
|
| 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 |
|
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
00143-9519-01
METHOTREXATE 50 MG/2 ML VIA
|
| Detail Information |
| Relationship Start Date |
05/01/1996 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
00143-9519-10
METHOTREXATE SODIUM (10X2ML SDV,PF) 25 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/13/2018 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
00703-3671-03
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00703-3671-93
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00703-3673-01
|
| 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 |
|
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
00703-3675-01
METHOTREXATE 250 MG/10 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/01/2016 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
00703-3675-91
|
| 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 |
|
|
|
|
J9250
|
⇄
|
00703-3678-01
|
| 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 |
|
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
10019-0940-01
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/27/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
10019-0940-02
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/27/2002 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
10019-0941-01
METHOTREXATE SODIUM (M.D.V.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/27/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
10139-0062-02
METHOTREXATE (USP,SDV,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
7/2/2007 |
| Relationship End Date |
2/14/2013 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
10139-0062-10
METHOTREXATE (USP,SDV,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/7/2007 |
| Relationship End Date |
8/4/2013 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
10139-0062-40
METHOTREXATE (USP,SDV,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/7/2007 |
| Relationship End Date |
2/6/2013 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
16729-0277-03
|
| 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 |
|
|
|
|
J9250
|
⇄
|
16729-0277-30
|
| 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 |
|
|
|
|
J9250
|
⇄
|
16729-0277-35
|
| 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 |
|
|
|
|
J9250
|
⇄
|
51552-1054-01
|
| 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 |
|
|
|
|
J9250
|
⇄
|
51552-1054-09
|
| 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 |
|
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
54436-0012-04
OTREXUP 12.5 MG/0.4 ML AUTO
|
| Detail Information |
| Relationship Start Date |
07/13/2016 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
54436-0017-04
OTREXUP 17.5 MG/0.4 ML AUTO
|
| Detail Information |
| Relationship Start Date |
04/12/2016 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
54436-0022-04
OTREXUP 22.5 MG/0.4 ML AUTO
|
| Detail Information |
| Relationship Start Date |
04/12/2016 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
SQ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
54569-4525-00
|
| 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 |
|
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54569-4983-00
METHOTREXATE SODIUM (VIAL) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/9/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54569-5316-00
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/12/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54868-0173-00
METHOTREXATE SODIUM (PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/26/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54868-0173-01
METHOTREXATE SODIUM (PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/6/2005 |
| Relationship End Date |
5/8/2008 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54868-4716-00
METHOTREXATE SODIUM (P.F.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/16/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54868-4796-00
METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
5/21/2003 |
| Relationship End Date |
11/30/2008 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
54868-4809-00
METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/3/2003 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
55390-0031-10
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
55390-0032-10
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
55390-0033-10
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
55390-0034-10
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
55390-0143-01
|
| 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 |
|
|
|
|
J9250
|
⇄
|
58406-0681-14
|
| 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 |
|
|
|
|
J9250
|
⇄
|
58406-0681-17
|
| 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 |
|
|
|
|
J9250
|
⇄
|
58406-0683-15
|
| 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 |
|
|
|
|
J9250
|
⇄
|
58406-0683-16
|
| 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 |
|
|
|
|
J9250
|
⇄
|
58406-0683-18
|
| 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 |
|
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
59137-0510-04
RASUVO (1X4 AUTO INJECTORS,PF) 10 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
09/22/2014 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0124-40
PREMIERPRO RX METHOTREXATE (SDV,PF,LATEX-FREE) 25 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/09/2023 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
61703-0350-09
METHOTREXATE 50 MG/2 ML VIA
|
| Detail Information |
| Relationship Start Date |
09/01/2016 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
61703-0350-10
|
| 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 |
|
|
|
|
J9250
Methotrexate sodium, 5 mg
|
⇄
|
61703-0350-37
METHOTREXATE 50 MG/2 ML VIA
|
| Detail Information |
| Relationship Start Date |
10/28/2004 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0350-38
METHOTREXATE SODIUM (MDV,5X2ML) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
06/27/2005 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0407-07
METHOTREXATE SODIUM (S.D.V.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0407-32
METHOTREXATE SODIUM (S.D.V.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-04
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-07
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-13
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-22
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/9/2004 |
| Relationship End Date |
1/17/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-25
METHOTREXATE NOVAPLUS (PF,LATEX-FREE) 25 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/02/2021 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-32
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-41
METHOTREXATE SODIUM (SDV,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/09/2004 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
61703-0408-58
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/9/2004 |
| Relationship End Date |
1/17/2005 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
61703-0411-01
|
| 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 |
|
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0121-02
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/20/2019 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0121-04
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0121-08
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
8 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0121-10
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0121-40
METHOTREXATE SODIUM (VIAL,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
03/08/2002 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
|
⇄
|
63323-0122-50
|
| 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 |
|
|
|
|
J9250
|
⇄
|
63323-0122-59
|
| 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 |
|
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0123-02
METHOTREXATE SODIUM (VIAL) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
63323-0123-10
METHOTREXATE SODIUM (VIAL) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
66479-0135-01
METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
66479-0135-09
METHOTREXATE SODIUM (VIAL, L.P.P.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
66479-0136-11
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
66479-0136-13
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
66479-0136-19
METHOTREXATE SODIUM (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9250
METHOTREXATE SODIUM, 5 MG
|
⇄
|
66479-0137-21
METHOTREXATE SODIUM (S.D.V.) 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/15/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9250
|
⇄
|
66479-0139-29
|
| 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 |
|
|
|
|
J9250
|
⇄
|
66758-0040-02
|
| 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 |
|
|
|
|
J9250
|
⇄
|
66758-0040-08
|
| 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 |
|
|
|
|
J9250
|
⇄
|
66758-0041-01
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0221-02
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0221-10
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0221-40
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0466-10
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0467-99
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0480-40
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0485-99
|
| 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 |
|
|
|
|
J9250
|
⇄
|
67457-0486-99
|
| 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 |
|
|
|
|