| Source NDC Code |
|
Target HCPCS Code |
63323-0402-24
PREMIERPRO RX AZTREONAM (SDV,USP,SODIUM-FREE) 2 GM
|
⇄
|
J0457
INJECTION, AZTREONAM, 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
63323-0402-24
AZTREONAM 2 GM VIAL
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
07/15/2018 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
63323-0402-24
Aztreonam
|
⇄
|
J0457
Injection, aztreonam, 100 mg
|
| 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 |
|
|
|
|