| Source NDC Code |
|
Target HCPCS Code |
71288-0156-05
THIOTEPA (SDV,PF,LATEX-FREE) 15 MG
|
⇄
|
J9340
INJECTION, THIOTEPA, 15 MG
|
| Detail Information |
| Relationship Start Date |
01/08/2024 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
71288-0156-05
THIOTEPA SDV,LYOPHILIZED 15 MG
|
⇄
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
71288-0156-05
Thiotepa
|
⇄
|
J9342
Inj thiotepa nos 1 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 |
|
|
|
|