| Source NDC Code |
|
Target HCPCS Code |
23155-0748-41
PENTAMIDINE ISETHIONATE 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 |
|
|
|
23155-0748-41
PENTAMIDINE ISETHIONATE (PF,LATEX-FREE) 300 MG
|
⇄
|
J2545
PENTAMIDINE ISETHIONATE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MG
|
| Detail Information |
| Relationship Start Date |
05/20/2021 |
| 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 |
|
|
|
23155-0748-41
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 |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
23155-0748-41
Pentamidine Isethionate
|
⇄
|
J2516
Pentamidine non-comp unit
|
| 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 |
|
|
|
|