| Source HCPCS Code |
|
Target NDC Code |
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
00085-0566-05
CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
|
⇄
|
00085-0942-05
|
| 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 |
|
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG
|
⇄
|
00085-4320-01
CELESTONE SOLUSPAN (MDV) 3 MG/1 ML-3 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
05/16/2017 |
| Relationship End Date |
08/24/2022 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg
|
⇄
|
00517-0720-01
BETAMETHASONE AC-SP 6 MG/ML VL
|
| Detail Information |
| Relationship Start Date |
04/28/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg
|
⇄
|
00517-0791-01
BETAMETHASONE SP-AC 30 MG/5
|
| Detail Information |
| Relationship Start Date |
01/08/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg
|
⇄
|
00517-0799-01
BETAMETHASONE SP-AC 30 MG/5
|
| Detail Information |
| Relationship Start Date |
01/20/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
35356-0084-01
CELESTONE SOLUSPAN 3 MG/ML-3 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/8/2008 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
|
⇄
|
40042-0048-05
|
| 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 |
|
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3 MG AND BETAMETHASONE SODIUM PHOSPHATE 3 MG
|
⇄
|
51754-5060-01
BETAMETHASONE ACETATE-BETAMETHASONE SODIUM PHOSPH (MDV) 3 MG/1 ML-3 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/04/2019 |
| Relationship End Date |
04/14/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
54569-1630-01
CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/10/2005 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
54569-3377-00
CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/21/2002 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
54868-0206-00
CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
58016-9191-01
CELESTONE SOLUSPAN (M.D.V.) 3 MG/ML-3 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
INJECTION, BETAMETHASONE ACETATE 3MG AND BETAMETHASONE SODIUM PHOSPHATE 3MG
|
⇄
|
78206-0118-01
CELESTONE SOLUSPAN (MDV) 3 MG/1 ML-3 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/16/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0702
Betamethasone acet&sod phosp
|
⇄
|
00517-0720-01
Celestone Soluspan
|
| 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 |
|
|
|
|
J0702
Betamethasone acet&sod phosp
|
⇄
|
00517-0791-01
Betamethasone Sodium Phosphate and Betamethasone 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 |
|
|
|
|
J0702
Betamethasone acet&sod phosp
|
⇄
|
00517-0799-01
Betamethasone Sodium Phosphate and Betamethasone 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 |
|
|
|
|
J0702
Betamethasone acet&sod phosp
|
⇄
|
78206-0118-01
Celestone Soluspan
|
| 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 |
|
|
|
|