| Source NDC Code |
|
Target HCPCS Code |
63323-0303-55
TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM
|
⇄
|
J3260
INJECTION, TOBRAMYCIN SULFATE, UP TO 80 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
6 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
63323-0303-55
TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM
|
⇄
|
J7682
TOBRAMYCIN, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, UNIT DOSE FORM, ADMINISTERED THROUGH DME, PER 300 MILLIGRAMS
|
| Detail Information |
| Relationship Start Date |
12/17/2004 |
| Relationship End Date |
12/31/2006 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
63323-0303-55
TOBRAMYCIN SULFATE NOVAPLUS (BULK PKG,50ML VIAL X 6) 1.2 GM
|
⇄
|
J7685
TOBRAMYCIN, INHALATION SOLUTION, COMPOUNDED PRODUCT, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER 300 MILLIGRAMS
|
| Detail Information |
| Relationship Start Date |
1/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
63323-0303-55
Tobramycin Sulfate
|
⇄
|
J3260
Tobramycin sulfate 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 |
|
|
|
|