| Source NDC Code |
|
Target HCPCS Code |
00409-1061-01
PEMETREXED (SDV,PF,LATEX-FREE) 500 MG
|
⇄
|
J9294
INJECTION, PEMETREXED (HOSPIRA) NOT THERAPEUTICALLY EQUIVALENT TO J9305, 10 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| 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 |
|
|
|
00409-1061-01
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 |
03/31/2023 |
| 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 500 MG VIAL
|
⇄
|
J9323
Injection, pemetrexed (hospira) not therapeutically equivalent to j9305, 10 mg
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| 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 |
|
|
|
00409-1061-01
Pemetrexed ditromethamine
|
⇄
|
J9294
Inj pemetrexed, hospira 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 |
|
|
|
|