| Source NDC Code |
|
Target HCPCS Code |
00143-9162-01
VANCOMYCIN 1 GM 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 |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00143-9162-01
VANCOMYCIN 1 GM VIAL
|
⇄
|
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 |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00143-9162-01
VANCOMYCIN 1 GM VIAL
|
⇄
|
J3376
Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| 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 |
|
|
|