| Source NDC Code |
|
Target HCPCS Code |
55150-0204-20
VANCOMYCIN HCL (PF,LATEX-FREE) 1 GM
|
⇄
|
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
|
| Detail Information |
| Relationship Start Date |
08/30/2018 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
55150-0204-20
VANCOMYCIN HCL LYOPHILIZED 1 GM
|
⇄
|
J3373
INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| 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 |
|
|
|