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NDC 51754-2500-01 To HCPCS Mapping

NDC “51754-2500-01” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
51754-2500-01
GANCICLOVIR 500 MG/250 ML B
J1574
Injection, ganciclovir sodium (exela) not therapeutically equivalent to j1570, 500 mg
Detail Information
Relationship Start Date 04/01/2024
Relationship End Date 04/02/2024
Number Of Items In Ndc Package 250
Ndc Package Measure ML
Ndc Package Type FLEX CONT
Route Of Administration IV
Billing Units ML