| Source NDC Code |
|
Target HCPCS Code |
00409-0120-01
DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG
|
⇄
|
J0877
INJECTION, DAPTOMYCIN (HOSPIRA), NOT THERAPEUTICALLY EQUIVALENT TO J0878, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00409-0120-01
DAPTOMYCIN (SDV,PF,LATEX-FREE) 350 MG
|
⇄
|
J0878
INJECTION, DAPTOMYCIN, 1 MG
|
| Detail Information |
| Relationship Start Date |
08/04/2021 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00409-0120-01
Daptomycin
|
⇄
|
J0877
Inj, daptomycin (hospira)
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
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| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
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| Route Of Administration |
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| Billing Units |
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|
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