| Source HCPCS Code |
|
Target NDC Code |
J0288
INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG
|
⇄
|
64116-0021-01
AMPHOTEC (S.D.V.) 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
8/13/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0288
INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG
|
⇄
|
64116-0025-01
AMPHOTEC (S.D.V.) 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
5/1/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0288
INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG
|
⇄
|
66435-0301-51
AMPHOTEC (SDV) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/1/2006 |
| Relationship End Date |
5/31/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0288
INJECTION, AMPHOTERICIN B CHOLESTERYL SULFATE COMPLEX, 10 MG
|
⇄
|
66435-0302-01
AMPHOTEC (SDV) 100 MG
|
| Detail Information |
| Relationship Start Date |
8/14/2008 |
| Relationship End Date |
5/31/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|