| Source NDC Code |
|
Target HCPCS Code |
00703-9526-81
PREMIERPRO RX SULFAMETHOXAZOLE/TRIMETHOPRIM MDV 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 |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-9526-81
PREMIERPRO RX SULFAMETHOXAZOLE/TRIMETHOPRIM (MDV) 80 MG/1 ML-16 MG/1 ML
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
08/15/2024 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
00703-9526-81
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 |
|
|
|
|