| Source NDC Code |
|
Target HCPCS Code |
70594-0042-03
VANCOMYCIN 1 GRAM/200 ML BA
|
⇄
|
J3372
Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0042-03
VANCOMYCIN 1 GRAM/200 ML BAG
|
⇄
|
J3375
INJECTION, VANCOMYCIN HYDROCHLORIDE (XELLIA), NOT THERAPEUTICALLY EQUIVALENT TO J3373, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0042-03
Vancomycin HCl
|
⇄
|
J3375
Inj vancomycin (xellia) 10mg
|
| 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 |
|
|
|
|