| Source HCPCS Code |
|
Target NDC Code |
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
00008-0026-22
BICILLIN C-R (SRN) 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/19/2002 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
00008-0026-36
BICILLIN C-R PEDIATRIC (TUBEX,21GX1") 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/27/2002 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
00008-0026-37
BICILLIN C-R (TUBEX,20GX1 1/4) 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/18/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
54569-1545-00
BICILLIN C-R (TUBEX, 20GX1 1/4) 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
|
⇄
|
54569-1546-00
|
| 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 |
|
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
54569-1850-01
BICILLIN C-R (SRN) 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
54569-2316-00
BICILLIN C-R (M.D.V.) 150000 U/ML-150000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
61570-0139-10
BICILLIN C-R (TUBEX,21GX1",PEDIATRIC) 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/19/2002 |
| Relationship End Date |
8/22/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
61570-0140-10
BICILLIN C-R (TUBEX,21GX1 1/4") 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/14/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0530
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 600,000 UNITS
|
⇄
|
61570-0142-10
BICILLIN C-R (SRN) 300000 U/ML-300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/11/2007 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|