| Source NDC Code |
|
Target HCPCS Code |
72205-0104-91
CHLORPROMAZINE HCL (SUGAR COATED) 25 MG
|
⇄
|
Q0161
CHLORPROMAZINE HYDROCHLORIDE, 5 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT, NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN
|
| Detail Information |
| Relationship Start Date |
04/15/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
72205-0104-91
CHLORPROMAZINE 25 MG TABLET
|
⇄
|
Q0181
Unspecified oral, FDA approved RX anti-emetic, for use as a complete therapeutic substitute for a IV
|
| Detail Information |
| Relationship Start Date |
05/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BOTTLE |
| Route Of Administration |
PO |
| Billing Units |
TAB |
|
|
|