| Source NDC Code |
|
Target HCPCS Code |
70594-0058-02
VANCOMYCIN HCL (FLEXIBLE BAG) 1.75 GM/350 ML
|
⇄
|
J3370
INJECTION, VANCOMYCIN HCL, 500 MG
|
| Detail Information |
| Relationship Start Date |
09/07/2020 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
350 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
70594-0058-02
VANCOMYCIN HCL (FLEXIBLE BAG) 1.75 GM/350 ML
|
⇄
|
J3372
INJECTION, VANCOMYCIN HCL (XELLIA) NOT THERAPEUTICALLY EQUIVALENT TO J3370, 500 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
350 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
70594-0058-02
Vancomycin Hydrochloride
|
⇄
|
J3372
Inj, vancomycin hcl (xellia)
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
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| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
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| Route Of Administration |
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| Billing Units |
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