| Source NDC Code |
|
Target HCPCS Code |
25021-0751-10
PANTOPRAZOLE SODIUM (SDV,PF,LATEX-FREE) 40 MG
|
⇄
|
J2470
INJECTION, PANTOPRAZOLE SODIUM, 40 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
25021-0751-10
PANTOPRAZOLE SODIUM (SDV,PF,LATEX-FREE) 40 MG
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
08/25/2022 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
25021-0751-10
PANTOPRAZOLE SODIUM 40 MG V
|
⇄
|
S0164
Injection, pantoprazole sodium, 40 mg
|
| Detail Information |
| Relationship Start Date |
08/26/2022 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|