| Source NDC Code |
|
Target HCPCS Code |
83831-0124-01
AVGEMSI 38 MG/1 ML
|
⇄
|
J9184
INJECTION, GEMCITABINE HYDROCHLORIDE (AVYXA), 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
52.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
83831-0124-01
AVGEMSI 38 MG/1 ML
|
⇄
|
J9201
INJECTION, GEMCITABINE HYDROCHLORIDE, NOT OTHERWISE SPECIFIED, 200 MG
|
| Detail Information |
| Relationship Start Date |
08/03/2025 |
| Relationship End Date |
12/31/2025 |
| Number Of Items In Ndc Package |
52.6 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
83831-0124-01
Avgesmi
|
⇄
|
J9184
Inj gemcitabin (avyxa) 200mg
|
| 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 |
|
|
|
|