| Source NDC Code |
|
Target HCPCS Code |
67457-0779-30
SULFAMETHOXAZOLE-TRIMETHOPRIM 2,400-480 MG/30 ML IV VIAL
|
⇄
|
J2865
Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
67457-0779-30
SULFAMETHOXAZOLE-TMP IV VIA
|
⇄
|
J3490
Unclassified drugs
|
| Detail Information |
| Relationship Start Date |
10/27/2017 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|