| Source NDC Code |
|
Target HCPCS Code |
72205-0248-01
DEXRAZOXANE SDV,LYOPHILIZED 500 MG
|
⇄
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
| Detail Information |
| Relationship Start Date |
05/19/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
72205-0248-01
Dexrazoxane
|
⇄
|
J1190
Dexrazoxane hcl injection
|
| 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 |
|
|
|
|