| Source NDC Code |
|
Target HCPCS Code |
00143-9445-01
DAPTOmycin SDV,LYOPHILIZED 500 MG
|
⇄
|
J0872
INJECTION, DAPTOMYCIN (XELLIA), UNREFRIGERATED, NOT THERAPEUTICALLY EQUIVALENT TO J0878 OR J0873, 1 MG
|
| Detail Information |
| Relationship Start Date |
12/11/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00143-9445-01
Daptomycin
|
⇄
|
J0877
Inj, daptomycin (hospira)
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
|
| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|