| Source NDC Code |
|
Target HCPCS Code |
70594-0066-01
DAPTOMYCIN (SDV,PF,LYOPHILIZED) 350 MG
|
⇄
|
J0872
INJECTION, DAPTOMYCIN (XELLIA), UNREFRIGERATED, NOT THERAPEUTICALLY EQUIVALENT TO J0878 OR J0873, 1 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0066-01
DAPTOMYCIN 350 MG VIAL
|
⇄
|
J0873
Injection, daptomycin (xellia) not therapeutically equivalent to J0878, 1 mg
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0066-01
DAPTOMYCIN 350 MG VIAL
|
⇄
|
J0878
INJECTION, DAPTOMYCIN, 1 MG
|
| Detail Information |
| Relationship Start Date |
12/06/2023 |
| Relationship End Date |
12/07/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0066-01
DAPTOMYCIN (SDV,PF,LYOPHILIZED) 350 MG
|
⇄
|
J3490
UNCLASSIFIED DRUGS
|
| Detail Information |
| Relationship Start Date |
12/04/2023 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
70594-0066-01
Daptomycin
|
⇄
|
J0872
Daptomycin (xellia) unrefrig
|
| 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 |
|
|
|
|