| Source NDC Code |
|
Target HCPCS Code |
00409-1061-01
PEMETREXED 500 MG VIAL
|
⇄
|
J9294
Injection, pemetrexed (hospira) not therapeutically equivalent to J9305, 10 mg
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00409-1061-01
PEMETREXED (SDV,PF,LATEX-FREE) 500 MG
|
⇄
|
J9305
INJECTION, PEMETREXED, NOT OTHERWISE SPECIFIED, 10 MG
|
| Detail Information |
| Relationship Start Date |
06/21/2022 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
00409-1061-01
PEMETREXED (SDV,PF,LATEX-FREE) 500 MG
|
⇄
|
J9323
INJECTION, PEMETREXED DITROMETHAMINE, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
07/14/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|