| Source NDC Code |
|
Target HCPCS Code |
57237-0075-50
ONDANSETRON HCL (FILM-COATED) 4 MG
|
⇄
|
Q0162
ONDANSETRON 1 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN
|
| Detail Information |
| Relationship Start Date |
11/07/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
57237-0075-50
ONDANSETRON HCL 4 MG TABLET
|
⇄
|
Q0181
Unspecified oral, FDA approved RX anti-emetic, for use as a complete therapeutic substitute for a IV
|
| Detail Information |
| Relationship Start Date |
04/12/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|