| Source HCPCS Code |
|
Target NDC Code |
J0740
Injection, cidofovir, 375 mg
|
⇄
|
23155-0216-31
CIDOFOVIR 375 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0740
INJECTION, CIDOFOVIR, 375 MG
|
⇄
|
54868-3979-00
VISTIDE 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
4/12/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0740
INJECTION, CIDOFOVIR, 375 MG
|
⇄
|
61958-0101-01
VISTIDE (S.D.V.,PF) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/1/2016 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0740
Injection, cidofovir, 375 mg
|
⇄
|
67457-0210-05
CIDOFOVIR 375 MG/5 ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J0740
Cidofovir injection
|
⇄
|
23155-0216-31
CIDOFOVIR
|
| 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 |
|
|
|
|
J0740
Cidofovir injection
|
⇄
|
67457-0210-05
CIDOFOVIR
|
| 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 |
|
|
|
|