| Source HCPCS Code |
|
Target NDC Code |
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
00006-3822-10
CANCIDAS (VIAL) 50 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2003 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
00006-3823-10
CANCIDAS (VIAL) 70 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2003 |
| 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 |
|
|
|
J0637
Injection, caspofungin acetate, 5 mg
|
⇄
|
00781-3421-01
CASPOFUNGIN ACETATE 50 MG V
|
| Detail Information |
| Relationship Start Date |
11/13/2018 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
00781-3421-94
CASPOFUNGIN ACETATE (PF,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/12/2018 |
| 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 |
|
|
|
J0637
Injection, caspofungin acetate, 5 mg
|
⇄
|
00781-3423-01
CASPOFUNGIN ACETATE 70 MG V
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
00781-3423-94
CASPOFUNGIN ACETATE (PF,LYOPHILIZED) 70 MG
|
| Detail Information |
| Relationship Start Date |
11/12/2018 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
25021-0194-10
CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/05/2023 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
25021-0195-10
CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 70 MG
|
| Detail Information |
| Relationship Start Date |
09/05/2023 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
47781-0613-07
CASPOFUNGIN ACETATE (PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
12/11/2017 |
| Relationship End Date |
10/01/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
47781-0614-07
CASPOFUNGIN ACETATE (PF,LATEX-FREE) 70 MG
|
| Detail Information |
| Relationship Start Date |
12/11/2017 |
| Relationship End Date |
10/01/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
59923-0613-70
CASPOFUNGIN ACETATE LYOPHILIZED 70 MG
|
| Detail Information |
| Relationship Start Date |
01/02/2025 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
59923-0614-50
CASPOFUNGIN ACETATE LYOPHILIZED 50 MG
|
| Detail Information |
| Relationship Start Date |
01/02/2025 |
| 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 |
|
|
|
J0637
Injection, caspofungin acetate, 5 mg
|
⇄
|
63323-0356-01
CASPOFUNGIN ACETATE 50 MG V
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
63323-0356-10
CASPOFUNGIN ACETATE (PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
07/28/2017 |
| 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 |
|
|
|
J0637
Injection, caspofungin acetate, 5 mg
|
⇄
|
63323-0358-01
CASPOFUNGIN ACETATE 70 MG V
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
63323-0358-10
CASPOFUNGIN ACETATE (PF,LATEX-FREE) 70 MG
|
| Detail Information |
| Relationship Start Date |
07/28/2017 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
67457-0831-50
CASPOFUNGIN ACETATE (SDV,PF,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/29/2017 |
| Relationship End Date |
11/30/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
67457-0832-70
CASPOFUNGIN ACETATE (PF,LYOPHILIZED) 70 MG
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
10/31/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
70860-0106-10
CASPOFUNGIN ACETATE (PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2018 |
| Relationship End Date |
04/15/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
70860-0107-10
CASPOFUNGIN ACETATE (PF,LATEX-FREE) 70 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2018 |
| Relationship End Date |
08/10/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
72266-0106-01
CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
04/02/2019 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
72266-0107-01
CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 70 MG
|
| Detail Information |
| Relationship Start Date |
04/02/2019 |
| 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 |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
72611-0700-01
CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
07/15/2020 |
| Relationship End Date |
11/11/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
INJECTION, CASPOFUNGIN ACETATE, 5 MG
|
⇄
|
72611-0702-01
CASPOFUNGIN ACETATE (SDV,PF,LATEX-FREE) 70 MG
|
| Detail Information |
| Relationship Start Date |
11/30/2020 |
| Relationship End Date |
11/07/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0637
Caspofungin acetate
|
⇄
|
59923-0613-70
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
59923-0614-50
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
70860-0106-10
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
70860-0107-10
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
72266-0106-01
Caspofungin
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
72266-0107-01
Caspofungin
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
63323-0356-10
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
63323-0358-10
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
00006-3822-10
Cancidas
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
00006-3823-10
Cancidas
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
25021-0194-10
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
25021-0195-10
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
00781-3421-94
Caspofungin Acetate
|
| 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 |
|
|
|
|
J0637
Caspofungin acetate
|
⇄
|
00781-3423-94
Caspofungin Acetate
|
| 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 |
|
|
|
|