| Source HCPCS Code |
|
Target NDC Code |
J0456
|
⇄
|
00069-0400-10
|
| 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 |
|
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
00069-3150-14
ZITHROMAX (W/VIAL MATE) 500 MG
|
| Detail Information |
| Relationship Start Date |
2/25/2002 |
| Relationship End Date |
1/10/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
00069-3150-83
ZITHROMAX (VIAL) 500 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 |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
00069-3150-84
ZITHROMAX I.V. 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
02/01/2000 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
|
⇄
|
00409-0144-10
|
| 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 |
|
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
00409-0144-11
AZITHROMYCIN I.V. 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
06/26/2009 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
00409-0144-21
AZITHROMYCIN 500 MG ADD-VAN
|
| Detail Information |
| Relationship Start Date |
06/26/2009 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
00703-9085-03
AZITHROMYCIN (SDV) 500 MG
|
| Detail Information |
| Relationship Start Date |
3/1/2007 |
| 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 |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
00703-9089-01
AZITHROMYCIN (PHARMACY BULK PKG) 2.5 GM
|
| Detail Information |
| Relationship Start Date |
3/1/2007 |
| 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 |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
10019-0648-02
AZITHROMYCIN (10X10ML) 500 MG
|
| Detail Information |
| Relationship Start Date |
4/12/2006 |
| Relationship End Date |
1/13/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
10019-0648-71
AZITHROMYCIN 500 MG
|
| Detail Information |
| Relationship Start Date |
5/5/2007 |
| Relationship End Date |
1/13/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
|
⇄
|
25021-0112-10
|
| 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 |
|
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
25021-0180-10
AZITHROMYCIN LYOPHILIZED 500 MG
|
| Detail Information |
| Relationship Start Date |
07/31/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
25021-0180-66
AZITHROMYCIN NOVAPLUS LYOPHILIZED 500 MG
|
| Detail Information |
| Relationship Start Date |
10/31/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
50111-0794-78
AZITHROMYCIN I.V. 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
08/17/2007 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
54569-4681-00
ZITHROMAX 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
54868-4527-00
ZITHROMAX (VIAL) 500 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 |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
55150-0174-10
AZITHROMYCIN I.V. 500 MG VI
|
| Detail Information |
| Relationship Start Date |
07/07/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
60505-6076-04
AZITHROMYCIN (MONOHYDRATE;SINGLE-DOSE) 500 MG
|
| Detail Information |
| Relationship Start Date |
09/02/2010 |
| Relationship End Date |
09/02/2020 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
62756-0512-40
AZITHROMYCIN I.V. 500 MG VI
|
| Detail Information |
| Relationship Start Date |
06/15/2016 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
62756-0512-44
AZITHROMYCIN I.V. 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
09/06/2013 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
62991-2577-01
AZITHROMYCIN DIHYDRATE (U.S.P.,MICRONIZED)
|
| Detail Information |
| Relationship Start Date |
10/31/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
62991-2577-02
AZITHROMYCIN DIHYDRATE (1X100GM,USP)
|
| Detail Information |
| Relationship Start Date |
10/01/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
62991-2577-03
AZITHROMYCIN DIHYDRATE (1X500GM,USP)
|
| Detail Information |
| Relationship Start Date |
10/01/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
63275-9965-02
AZITHROMYCIN DIHYDRATE (1X5GM, USP)
|
| Detail Information |
| Relationship Start Date |
01/01/2007 |
| Relationship End Date |
05/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
63275-9965-03
AZITHROMYCIN DIHYDRATE (1X10GM, USP)
|
| Detail Information |
| Relationship Start Date |
01/01/2007 |
| Relationship End Date |
05/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
63275-9965-04
AZITHROMYCIN DIHYDRATE (1X25GM, USP)
|
| Detail Information |
| Relationship Start Date |
01/01/2007 |
| Relationship End Date |
05/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
63275-9965-05
AZITHROMYCIN DIHYDRATE (1X100GM, USP)
|
| Detail Information |
| Relationship Start Date |
01/01/2007 |
| Relationship End Date |
05/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
63323-0398-01
AZITHROMYCIN I.V. 500 MG VI
|
| Detail Information |
| Relationship Start Date |
03/20/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
63323-0398-10
AZITHROMYCIN (10X10ML,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
02/27/2006 |
| 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 |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
63323-0398-12
NOVAPLUS AZITHROMYCIN (10X10ML) 500 MG
|
| Detail Information |
| Relationship Start Date |
02/27/2006 |
| 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 |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
63323-0398-14
AZITHROMYCIN
|
| Detail Information |
| Relationship Start Date |
03/20/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
63323-0398-41
AZITHROMYCIN I.V. 500 MG VI
|
| Detail Information |
| Relationship Start Date |
03/20/2006 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
67457-0860-50
AZITHROMYCIN (PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
11/30/2021 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
70095-0025-01
AZITHROMYCIN (SDV,PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
04/25/2023 |
| 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 |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
70095-0025-02
AZITHROMYCIN (SDV,PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
04/25/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
70436-0019-82
AZITHROMYCIN (LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
12/17/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
70860-0100-10
AZITHROMYCIN (SDV,LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
02/01/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
70860-0100-41
AZITHROMYCIN I.V. 500 MG VI
|
| Detail Information |
| Relationship Start Date |
03/09/2017 |
| Relationship End Date |
03/31/2027 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Injection, azithromycin, 500 mg
|
⇄
|
70860-0125-41
AZITHROMYCIN I.V. 500 MG VI
|
| Detail Information |
| Relationship Start Date |
07/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
INJECTION, AZITHROMYCIN, 500 MG
|
⇄
|
70860-0125-66
AZITHROMYCIN NOVAPLUS (PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
12/05/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0456
Azithromycin
|
⇄
|
70860-0100-10
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
70860-0125-66
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
55150-0174-10
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
63323-0398-10
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
63323-0398-14
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
00069-3150-83
Zithromax
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
00409-0144-11
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
25021-0180-66
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
70436-0019-82
Azithromycin
|
| 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 |
|
|
|
|
J0456
Azithromycin
|
⇄
|
70095-0025-02
Azithromycin
|
| 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 |
|
|
|
|