| Source NDC Code |
|
Target HCPCS Code |
16729-0277-35
|
⇄
|
J9250
|
| 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 |
|
|
|
|
16729-0277-35
METHOTREXATE (USP,SDV,PF) 25 MG/1 ML
|
⇄
|
J9255
INJECTION, METHOTREXATE (ACCORD) NOT THERAPEUTICALLY EQUIVALENT TO J9250 AND J9260, 50 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
16729-0277-35
METHOTREXATE 1 GRAM/40 ML VIAL
|
⇄
|
J9260
Methotrexate sodium, 50 mg
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
16729-0277-35
Methotrexate Sodium
|
⇄
|
J9250
Methotrexate sodium inj
|
| 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 |
|
|
|
|
16729-0277-35
Methotrexate Sodium
|
⇄
|
J9260
Methotrexate sodium inj
|
| 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 |
|
|
|
|