| Source NDC Code |
|
Target HCPCS Code |
44567-0701-95
PREMIERPRO RX CEFTRIAXONE (SDV) 1 GM
|
⇄
|
J0696
INJECTION, CEFTRIAXONE SODIUM, PER 250 MG
|
| Detail Information |
| Relationship Start Date |
05/12/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
44567-0701-95
Ceftriaxone
|
⇄
|
J0696
Ceftriaxone sodium injection
|
| 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 |
|
|
|
|