| Source HCPCS Code |
|
Target NDC Code |
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
00003-0437-30
FUNGIZONE INTRAVENOUS 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/3/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
00003-0437-32
AMPHOTERICIN B VHA PLUS 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/3/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
00003-0437-60
FUNGIZONE FOR TISSUE CULTURE 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/3/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
NA |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
00013-1405-44
AMPHOCIN 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/6/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
00703-9785-01
AMPHOTERICIN B (S.D.V.) 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
38779-0191-03
AMPHOTERICIN B (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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
38779-0191-04
AMPHOTERICIN B (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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
38779-0191-05
AMPHOTERICIN B (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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
38779-0191-06
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
11/27/2003 |
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
38779-0191-08
AMPHOTERICIN B (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 |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
38779-0191-09
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
39822-1055-05
AMPHOTERICIN B (STERILE) 50 MG
|
| 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 |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
39822-1055-07
NOVAPLUS AMPHOTERICIN B 50 MG
|
| Detail Information |
| Relationship Start Date |
3/20/2006 |
| Relationship End Date |
9/1/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
49452-0023-01
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/24/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
49452-0023-02
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/24/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
49452-0023-03
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
49452-0606-03
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/24/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-00
AMPHOTERICIN B (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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-01
AMPHOTERICIN B
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-02
AMPHOTERICIN B
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-03
AMPHOTERICIN B
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-04
AMPHOTERICIN B (1X25GM)
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-05
AMPHOTERICIN B
|
| 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 |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-06
AMPHOTERICIN B (1X500GM)
|
| Detail Information |
| Relationship Start Date |
9/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-07
AMPHOTERICIN B (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
9/1/2003 |
| Relationship End Date |
1/1/2015 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-09
AMPHOTERICIN B
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-10
AMPHOTERICIN B
|
| 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 |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51552-0304-50
AMPHOTERICIN B
|
| 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 |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
51927-1726-00
AMPHOTERICIN B (U.S.P.; ORAL GRADE)
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
54569-5535-00
FUNGIZONE INTRAVENOUS 50 MG
|
| Detail Information |
| Relationship Start Date |
9/30/2003 |
| Relationship End Date |
3/10/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
54868-5752-00
AMPHOTERICIN B 50 MG
|
| Detail Information |
| Relationship Start Date |
1/25/2007 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
62263-0414-11
AMPHOTERICIN B
|
| Detail Information |
| Relationship Start Date |
9/7/2004 |
| Relationship End Date |
10/28/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
62991-1173-01
AMPHOTERICIN B (U.S.P., ORAL GRADE)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
62991-1173-02
AMPHOTERICIN B (U.S.P., ORAL GRADE)
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
62991-1173-04
AMPHOTERICIN B (U.S.P., ORAL GRADE)
|
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
62991-1173-05
AMPHOTERICIN B (USP)
|
| Detail Information |
| Relationship Start Date |
01/01/2008 |
| 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 |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
63370-0020-10
AMPHOTERICIN B (U.S.P.,ORAL)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
63370-0020-15
AMPHOTERICIN B (U.S.P.,ORAL)
|
| Detail Information |
| Relationship Start Date |
9/4/2002 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
63370-0020-25
AMPHOTERICIN B (U.S.P.,ORAL)
|
| Detail Information |
| Relationship Start Date |
9/4/2002 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
63370-0020-35
AMPHOTERICIN B (U.S.P.,ORAL)
|
| Detail Information |
| Relationship Start Date |
9/4/2002 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
INJECTION, AMPHOTERICIN B, 50 MG
|
⇄
|
63370-0020-50
AMPHOTERICIN B (U.S.P.,ORAL)
|
| Detail Information |
| Relationship Start Date |
9/4/2002 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0285
Amphotericin b
|
⇄
|
39822-1055-05
Amphotericin B
|
| 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 |
|
|
|
|