| Source HCPCS Code |
|
Target NDC Code |
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-0004-04
PEMETREXED DISODIUM 1 GM/40
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-0020-02
PEMETREXED DISODIUM 100 MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-0021-03
PEMETREXED DISODIUM 500MG/2
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-1045-01
PEMETREXED DISODIUM 100 MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9294
INJECTION, PEMETREXED (HOSPIRA) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
|
⇄
|
00409-1060-01
PEMETREXED (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| 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 |
|
|
|
J9294
INJECTION, PEMETREXED (HOSPIRA) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
|
⇄
|
00409-1061-01
PEMETREXED (SDV,PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| 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 |
|
|
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-1062-01
PEMETREXED 1 GRAM VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
|
|
|
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-2188-01
PEMETREXED DISODIUM 500MG/2
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00409-3532-01
PEMETREXED DISODIUM 1 GM/40
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9294
Inj pemetrexed, hospira 10mg
|
⇄
|
00409-1060-01
Pemetrexed ditromethamine
|
| 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 |
|
|
|
|
J9294
Inj pemetrexed, hospira 10mg
|
⇄
|
00409-1061-01
Pemetrexed ditromethamine
|
| 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 |
|
|
|
|