| Source NDC Code |
|
Target HCPCS Code |
00143-9161-25
VANCOMYCIN 500 MG VIAL
|
⇄
|
J3370
Injection, vancomycin hcl, 500 mg
|
| Detail Information |
| Relationship Start Date |
09/11/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00143-9161-25
VANCOMYCIN HCL SPRAY DRIED 500 MG
|
⇄
|
J3373
INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00143-9161-25
VANCOMYCIN HCL SPRAY DRIED 500 MG
|
⇄
|
J3376
INJECTION, VANCOMYCIN HCL (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00143-9161-25
Vancomycin HCl
|
⇄
|
J3376
Inj vancomycin (hikma) 10mg
|
| 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 |
|
|
|
|