| Source NDC Code |
|
Target HCPCS Code |
25021-0188-99
AMPICILLIN-SULBACTAM (PHARMACY BULK,USP,PF) 10 GM-5 GM
|
⇄
|
J0295
INJECTION, AMPICILLIN SODIUM/SULBACTAM SODIUM, PER 1.5 GM
|
| Detail Information |
| Relationship Start Date |
04/23/2018 |
| Relationship End Date |
03/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
25021-0188-99
Ampicillin-Sulbactam
|
⇄
|
J0295
Ampicillin sulbactam 1.5 gm
|
| 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 |
|
|
|
|