| Source NDC Code |
|
Target HCPCS Code |
23155-0748-41
PENTAMIDINE ISETHIONATE (PF,LATEX-FREE) 300 MG
|
⇄
|
J7676
PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG
|
| Detail Information |
| Relationship Start Date |
05/20/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
23155-0748-41
PENTAMIDINE 300 MG VIAL
|
⇄
|
S0080
Injection, pentamidine iseth
|
| Detail Information |
| Relationship Start Date |
05/28/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|