| Source HCPCS Code |
|
Target NDC Code |
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
00008-0021-12
BICILLIN L-A (SRN) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/11/2002 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
00049-0210-35
PERMAPEN ISOJECT 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/2/2003 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
NA |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-1409-00
BICILLIN L-A (TUBEX, 20GX1 1/4) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-1409-01
BICILLIN L-A (TUBEX, 20GX1 1/4) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/17/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-1917-01
BICILLIN L-A (TUBEX) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-2200-00
BICILLIN L-A (SRN) 600000 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 |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-5876-00
BICILLIN L-A (10X1ML) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/17/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-5877-00
BICILLIN L-A (10X2ML,1200M U) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/17/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54569-5877-01
BICILLIN L-A (1200M U) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/17/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54868-0753-00
BICILLIN L-A (TUBEX) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54868-0753-01
BICILLIN L-A (TUBEX) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54868-2466-00
BICILLIN L-A (10X4ML) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
6/12/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
54868-3349-00
BICILLIN L-A (M.D.V.) 300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
60793-0700-10
BICILLIN L-A (10X1ML) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
11/21/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
60793-0701-10
BICILLIN L-A 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
11/21/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
60793-0702-10
BICILLIN L-A 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
11/21/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
61570-0146-10
BICILLIN L-A (TUBEX,21GX1",PEDIATRIC) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/20/2006 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
61570-0147-10
BICILLIN L-A (TUBEX,21GX1 1/4") 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/20/2006 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
⇄
|
61570-0148-10
BICILLIN L-A (SRN) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/20/2006 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|