| Source HCPCS Code |
|
Target NDC Code |
J9314
Injection, pemetrexed (teva) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00480-4514-01
PEMETREXED 500 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| 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 |
|
|
|
J9314
Injection, pemetrexed (teva) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00480-4515-01
PEMETREXED 1 GM/40 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| 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 |
|
|
|
J9314
Injection, pemetrexed (teva) not therapeutically equivalent to J9305, 10 mg
|
⇄
|
00480-4516-01
PEMETREXED 100 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| 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 |
|
|
|
J9314
Inj pemetrexed (teva) 10mg
|
⇄
|
00480-4514-01
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 |
|
|
|
|
J9314
Inj pemetrexed (teva) 10mg
|
⇄
|
00480-4515-01
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 |
|
|
|
|
J9314
Inj pemetrexed (teva) 10mg
|
⇄
|
00480-4516-01
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 |
|
|
|
|