| Source HCPCS Code |
|
Target NDC Code |
J0289
INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG
|
⇄
|
00469-3051-30
AMBISOME 50 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2003 |
| 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 |
|
|
|
J0289
INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG
|
⇄
|
55150-0365-01
AMPHOTERICIN B LIPOSOME (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
01/19/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0289
INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG
|
⇄
|
62756-0233-01
AMPHOTERICIN B LIPOSOME (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
02/14/2022 |
| 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 |
|
|
|
J0289
Amphotericin b liposome inj
|
⇄
|
00469-3051-30
Ambisome
|
| 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 |
|
|
|
|
J0289
Amphotericin b liposome inj
|
⇄
|
55150-0365-01
AMPHOTERICIN B LIPOSOME
|
| 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 |
|
|
|
|