| Source NDC Code |
|
Target HCPCS Code |
13925-0515-10
PENTAMIDINE ISETHIONATE SDV,LYOPHILIZED 300 MG
|
⇄
|
J2516
INJECTION, PENTAMIDINE ISETHIONATE, 1 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
13925-0515-10
PENTAMIDINE ISETHIONATE (SDV,LYOPHILIZED) 300 MG
|
⇄
|
J7676
PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG
|
| Detail Information |
| Relationship Start Date |
03/20/2019 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
13925-0515-10
PENTAMIDINE 300 MG INJECT VIAL
|
⇄
|
S0080
Injection, pentamidine isethionate, 300 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|