| Source HCPCS Code |
|
Target NDC Code |
J9323
Injection, pemetrexed (hospira) not therapeutically equivalent to j9305, 10 mg
|
⇄
|
00409-1060-01
PEMETREXED 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9323
Injection, pemetrexed (hospira) not therapeutically equivalent to j9305, 10 mg
|
⇄
|
00409-1061-01
PEMETREXED 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9323
Inj pemetrexed ditromethamin
|
⇄
|
00409-0004-04
Pemetrexed (Hospira)
|
| 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 |
|
|
|
|
J9323
Inj pemetrexed ditromethamin
|
⇄
|
00409-0020-02
Pemetrexed (Hospira)
|
| 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 |
|
|
|
|
J9323
Inj pemetrexed ditromethamin
|
⇄
|
00409-0021-03
Pemetrexed (Hospira)
|
| 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 |
|
|
|
|
J9323
Inj pemetrexed ditromethamin
|
⇄
|
00409-1045-01
Pemetrexed (Hospira)
|
| 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 |
|
|
|
|
J9323
Inj pemetrexed ditromethamin
|
⇄
|
00409-2188-01
Pemetrexed (Hospira)
|
| 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 |
|
|
|
|
J9323
Inj pemetrexed ditromethamin
|
⇄
|
00409-3532-01
Pemetrexed (Hospira)
|
| 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 |
|
|
|
|