| Source HCPCS Code |
|
Target NDC Code |
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
17314-7253-03
ETHYOL (S.D.V.) 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/2/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0207
|
⇄
|
47335-0581-40
|
| 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 |
|
|
|
|
J0207
|
⇄
|
47335-0581-42
|
| 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 |
|
|
|
|
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
55390-0308-03
AMIFOSTINE (3X10ML,LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
4/8/2008 |
| Relationship End Date |
12/31/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
58178-0017-01
ETHYOL (S.D.V.) 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/31/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
58178-0017-03
ETHYOL (S.D.V.,10MLX3) 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/31/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
62756-0581-40
AMIFOSTINE (USP) 500 MG
|
| Detail Information |
| Relationship Start Date |
3/26/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
62756-0581-42
AMIFOSTINE (USP) 500 MG
|
| Detail Information |
| Relationship Start Date |
3/26/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0207
INJECTION, AMIFOSTINE, 500 MG
|
⇄
|
76310-0017-50
ETHYOL 500 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
10/02/2024 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|