| Source HCPCS Code |
|
Target NDC Code |
J0561
|
⇄
|
54569-5876-00
|
| 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 |
|
|
|
|
J0561
|
⇄
|
54569-5877-00
|
| 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 |
|
|
|
|
J0561
|
⇄
|
54569-5877-01
|
| 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 |
|
|
|
|
J0561
INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS
|
⇄
|
54868-0753-00
BICILLIN L-A (TUBEX) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS
|
⇄
|
54868-0753-01
BICILLIN L-A (TUBEX) 600000 U/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
INJECTION, PENICILLIN G BENZATHINE, 100,000 UNITS
|
⇄
|
54868-3349-00
BICILLIN L-A (M.D.V.) 300000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2011 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
⇄
|
60793-0700-01
BICILLIN L
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
⇄
|
60793-0700-10
BICILLIN L-A 600,000 UNIT/ML
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
⇄
|
60793-0701-02
Bicillin L-A 1200000 UNIT/2ML SUSP
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| 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 |
|
|
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
⇄
|
60793-0701-10
BICILLIN L-A 1,200,000 UNITS
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| 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 |
|
|
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
⇄
|
60793-0702-04
Bicillin L-A 2400000 UNIT/4ML SUSP
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
⇄
|
60793-0702-10
BICILLIN L-A 2,400,000 UNITS
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0561
Penicillin g benzathine inj
|
⇄
|
50090-1016-00
Bicillin L-A
|
| 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 |
|
|
|
|
J0561
Penicillin g benzathine inj
|
⇄
|
50090-1016-01
Bicillin L-A
|
| 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 |
|
|
|
|
J0561
Penicillin g benzathine inj
|
⇄
|
60793-0700-10
Bicillin L-A
|
| 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 |
|
|
|
|
J0561
Penicillin g benzathine inj
|
⇄
|
60793-0701-10
Bicillin L-A
|
| 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 |
|
|
|
|
J0561
Penicillin g benzathine inj
|
⇄
|
60793-0702-10
Bicillin L-A
|
| 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 |
|
|
|
|