| Source HCPCS Code |
|
Target NDC Code |
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00074-4906-19
AMINOPHYLLINE (ABBOJECT) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/7/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00074-4909-18
AMINOPHYLLINE (10X10ML,ABBOJECT) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/24/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00074-5921-01
AMINOPHYLLINE (VIAL, FLIPTOP,ABBOJECT) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/24/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00074-5922-01
AMINOPHYLLINE (VIAL, FLIPTOP,ABBOJECT) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/23/2004 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00074-7385-01
AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/28/2005 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00074-7386-01
AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/28/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00223-7128-02
AMINOPHYLLINE (VIAL) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00223-7128-10
AMINOPHYLLINE (VIAL) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00223-7130-00
AMINOPHYLLINE 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
NA |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00223-7130-10
AMINOPHYLLINE 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
NA |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00223-7136-20
AMINOPHYLLINE (S.D.V.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
|
⇄
|
00247-0850-10
|
| 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 |
|
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00409-5921-01
AMINOPHYLLINE (VIAL,FLIPTOP,25X10ML) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/25/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
Injection, aminophyllin, up to 250 mg
|
⇄
|
00409-5921-16
AMINOPHYLLINE 250 MG/10 ML
|
| Detail Information |
| Relationship Start Date |
10/28/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00409-5922-01
AMINOPHYLLINE (VIAL, FLIPTOP,ABBOJECT) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/24/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
Injection, aminophyllin, up to 250 mg
|
⇄
|
00409-5922-16
AMINOPHYLLINE 500 MG/20 ML
|
| Detail Information |
| Relationship Start Date |
10/28/2004 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00409-7385-01
AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/29/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00409-7386-01
AMINOPHYLLINE (AMP,LATEX-FREE) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
11/29/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00517-3810-25
AMINOPHYLLINE (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/24/2011 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
00517-3820-25
AMINOPHYLLINE (S.D.V.,PF) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/24/2011 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
17317-0022-01
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
17317-0022-04
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
17317-0022-05
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
38779-0562-05
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/28/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
38779-0562-08
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/28/2002 |
| Relationship End Date |
1/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
38779-0571-05
AMINOPHYLLINE DIHYDRATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
38779-0571-08
AMINOPHYLLINE DIHYDRATE (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
49452-0430-01
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
06/01/2015 |
| Relationship End Date |
08/05/2019 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
49452-0430-02
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
6/1/2015 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
49452-0430-03
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| 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 |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
49452-0430-06
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/14/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
51552-0313-05
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
51552-0313-06
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
51552-0313-16
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
51552-0313-99
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
51927-1444-00
AMINOPHYLLINE (U.S.P.; ANHYDROUS)
|
| Detail Information |
| Relationship Start Date |
09/08/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
54569-3130-01
AMINOPHYLLINE (S.D.V.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
54868-0004-00
AMINOPHYLLINE (S.D.V.) 25 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
62991-2003-01
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/1/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
62991-2003-02
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
INJECTION, AMINOPHYLLIN, UP TO 250 MG
|
⇄
|
62991-2003-03
AMINOPHYLLINE ANHYDROUS (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
00404-9813-10
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
00404-9814-20
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
51662-1204-01
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
51662-1204-03
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
51662-1341-01
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
51662-1341-03
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
00409-5921-01
Aminophylline
|
| 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 |
|
|
|
|
J0280
Aminophyllin 250 mg inj
|
⇄
|
00409-5922-01
Aminophylline
|
| 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 |
|
|
|
|