| Source NDC Code |
|
Target HCPCS Code |
16714-0517-01
VANCOMYCIN HCL (PHARMACY BULK PKG,PF) 5 GM
|
⇄
|
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
|
| Detail Information |
| Relationship Start Date |
07/26/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
16714-0517-01
VANCOMYCIN HCL PHARMACY BULK PKG,LYOPHILIZED 5 GM
|
⇄
|
J3373
INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|