| Source NDC Code |
|
Target HCPCS Code |
00143-9467-06
TYZAVAN FLEXIBLE BAG 1.75 GM/350 ML
|
⇄
|
J3375
INJECTION, VANCOMYCIN HYDROCHLORIDE (XELLIA), NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
350 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00143-9467-06
Tyzavan
|
⇄
|
J3375
Inj vancomycin (xellia) 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 |
|
|
|
|