| Source NDC Code |
|
Target HCPCS Code |
14789-0115-05
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
⇄
|
J3290
Injection, tranexamic acid, 5 mg
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
14789-0115-05
TRANEXAMIC ACID-SODIUM CHLORIDE SD 0.7%-1000 MG/100 ML
|
⇄
|
J3291
INJECTION, TRANEXAMIC ACID IN SODIUM CHLORIDE, 5 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
14789-0115-05
TRANEXAMIC ACID 1,000 MG/100 ML-NACL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
06/25/2024 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|