| Source HCPCS Code |
|
Target NDC Code |
J9292
INJECTION, PEMETREXED (AVYXA), NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
|
⇄
|
83831-0131-01
AXTLE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
12/04/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9292
INJECTION, PEMETREXED (AVYXA), NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
|
⇄
|
83831-0132-01
AXTLE SDV,LYOPHILIZED 500 MG
|
| Detail Information |
| Relationship Start Date |
12/04/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9292
Inj, pemetrexed dipotassium
|
⇄
|
83831-0131-01
AXTLE
|
| 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 |
|
|
|
|
J9292
Inj, pemetrexed dipotassium
|
⇄
|
83831-0132-01
AXTLE
|
| 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 |
|
|
|
|