| Source NDC Code |
|
Target HCPCS Code |
00703-9503-03
SMZ-TMP CONCENTRATE S.D.V. 80 MG/1 ML-16 MG/1 ML
|
⇄
|
J2865
INJECTION, SULFAMETHOXAZOLE 5 MG AND TRIMETHOPRIM 1 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-9503-03
SMZ-TMP CONCENTRATE (S.D.V.) 80 MG/ML-16 MG/ML
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-9503-03
Sulfamethoxazole-Trimethoprim
|
⇄
|
J2865
Inj sulfameth/trim 5 mg/1 mg
|
| 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 |
|
|
|
|