| Source HCPCS Code |
|
Target NDC Code |
Q5112
Inj ontruzant 10 mg
|
⇄
|
00006-5033-01
ONTRUZANT 150 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2020 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
00006-5033-02
ONTRUZANT 150 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2020 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
00006-5034-01
ONTRUZANT 420 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2020 |
| Relationship End Date |
12/24/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
00006-5034-02
ONTRUZANT 420 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2020 |
| Relationship End Date |
12/24/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
78206-0147-01
ONTRUZANT 150 MG VIAL
|
| Detail Information |
| Relationship Start Date |
08/23/2021 |
| 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 |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
78206-0147-99
ONTRUZANT 150 MG VIAL
|
| Detail Information |
| Relationship Start Date |
08/23/2021 |
| 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 |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
78206-0148-01
ONTRUZANT 420 MG VIAL
|
| Detail Information |
| Relationship Start Date |
08/23/2021 |
| 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 |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
78206-0148-99
ONTRUZANT 420 MG VIAL
|
| Detail Information |
| Relationship Start Date |
08/23/2021 |
| 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 |
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
00006-5033-02
Ontruzant
|
| 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 |
|
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
00006-5034-02
Ontruzant
|
| 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 |
|
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
78206-0147-01
Ontruzant
|
| 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 |
|
|
|
|
Q5112
Inj ontruzant 10 mg
|
⇄
|
78206-0148-01
Ontruzant
|
| 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 |
|
|
|
|