| Source HCPCS Code |
|
Target NDC Code |
J9296
Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
16729-0522-05
PEMETREXED DISODIUM 500MG/2
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9296
Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
16729-0522-28
PEMETREXED DISODIUM 850MG/3
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
34 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9296
Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
16729-0522-35
PEMETREXED DISODIUM 1 GM/40
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9296
Injection, pemetrexed (accord) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
16729-0522-64
PEMETREXED DISODIUM 100 MG/
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9296
Inj pemetrexed (accord) 10mg
|
⇄
|
16729-0522-05
Pemetrexed
|
| 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 |
|
|
|
|