| Source NDC Code |
|
Target HCPCS Code |
70594-0045-02
VANCOMYCIN HCL (USP,PF,LATEX-FREE) 500 MG
|
⇄
|
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
|
| Detail Information |
| Relationship Start Date |
12/30/2021 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0045-02
VANCOMYCIN 500 MG VIAL
|
⇄
|
J3372
Injection, vancomycin hcl (xellia) not therapeutically equivalent to j3370, 500 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
08/01/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0045-02
VANCOMYCIN HCL USP,LYOPHILIZED 500 MG
|
⇄
|
J3373
INJECTION, VANCOMYCIN HYDROCHLORIDE, 10 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0045-02
Vancomycin HCl
|
⇄
|
J3373
Inj, vancomycin hcl, 10 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 |
|
|
|
|