| Source NDC Code |
|
Target HCPCS Code |
42023-0622-10
BIVALIRUDIN (READY TO USE) SDV 5 MG/1 ML
|
⇄
|
J0582
INJECTION, BIVALIRUDIN (ENDO), NOT THERAPEUTICALLY EQUIVALENT TO J0583, 1 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
42023-0622-10
BIVALIRUDIN RTU 250 MG/50 ML
|
⇄
|
J0583
INJECTION, BIVALIRUDIN, 1 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2020 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
42023-0622-10
Bivalirudin
|
⇄
|
J0582
Bivalirudin (endo) 1 mg
|
| 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 |
|
|
|
|