| Source HCPCS Code |
|
Target NDC Code |
J0558
|
⇄
|
54569-5957-00
|
| 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 |
|
|
|
|
J0558
|
⇄
|
54569-5958-00
|
| 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 |
|
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0600-02
BICILLIN C-R 1.2 MILLION UN
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0600-10
BICILLIN C-R 1.2 MILLION UNIT
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0601-02
BICILLIN C
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0601-10
BICILLIN C-R 1.2 MILLION UNIT
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0602-02
BICILLIN C-R 900-300 SYRINGE
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0602-10
BICILLIN C-R 900-300 SYRINGE
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0700-01
BICILLIN L
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0700-10
BICILLIN L-A 600,000 UNIT/ML
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0701-02
BICILLIN L-A 1,200,000 UNITS
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0701-10
BICILLIN L-A 1,200,000 UNITS
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0702-04
BICILLIN L-A 2,400,000 UNITS
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
⇄
|
60793-0702-10
BICILLIN L-A 2,400,000 UNITS
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
06/30/2024 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0558
|
⇄
|
61570-0140-10
|
| 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 |
|
|
|
|
J0558
Peng benzathine/procaine inj
|
⇄
|
60793-0600-10
Bicillin CR
|
| 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 |
|
|
|
|
J0558
Peng benzathine/procaine inj
|
⇄
|
60793-0601-10
Bicillin CR
|
| 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 |
|
|
|
|
J0558
Peng benzathine/procaine inj
|
⇄
|
60793-0602-10
Bicillin CR
|
| 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 |
|
|
|
|