| Source HCPCS Code |
|
Target NDC Code |
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
00143-9385-01
DECITABINE (LATEX-FREE,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/21/2022 |
| 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 |
|
|
|
J0894
|
⇄
|
00781-3139-80
|
| 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 |
|
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
00781-3296-80
DECITABINE (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
03/30/2020 |
| Relationship End Date |
05/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
16714-0749-01
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
12/19/2017 |
| Relationship End Date |
01/31/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
16714-0928-01
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
03/27/2019 |
| Relationship End Date |
10/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
CT |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
16729-0224-05
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
03/03/2017 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
25021-0219-20
DECITABINE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
12/07/2023 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
25021-0231-20
DECITABINE (PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/07/2018 |
| Relationship End Date |
11/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
31722-0304-31
DECITABINE LYOPHILIZED 50 MG
|
| Detail Information |
| Relationship Start Date |
10/01/2024 |
| 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 |
|
|
|
J0894
|
⇄
|
43598-0348-37
|
| 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 |
|
|
|
|
J0894
Injection, decitabine, 1 mg
|
⇄
|
43598-0427-37
DECITABINE 50 MG VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
47335-0361-41
DECITABINE (W/DILUENT,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2014 |
| Relationship End Date |
12/31/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
50742-0430-01
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/07/2019 |
| 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 |
|
|
|
J0894
Injection, decitabine, 1 mg
|
⇄
|
55111-0556-10
DECITABINE 50 MG VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
55150-0376-01
DECITABINE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/16/2021 |
| Relationship End Date |
06/13/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
58063-0600-50
DACOGEN 50 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
59148-0046-70
DACOGEN (SDV) 50 MG
|
| Detail Information |
| Relationship Start Date |
10/21/2015 |
| Relationship End Date |
04/15/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
|
⇄
|
62856-0600-01
|
| 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 |
|
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
63323-0825-20
DECITABINE (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
12/20/2019 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
64679-0067-02
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
04/09/2019 |
| Relationship End Date |
09/18/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
67457-0316-25
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
10/10/2018 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
68001-0347-36
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2018 |
| Relationship End Date |
01/06/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
68001-0422-37
DECITABINE (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/11/2019 |
| Relationship End Date |
04/12/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
68001-0573-41
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2023 |
| Relationship End Date |
10/08/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
68001-0618-37
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
04/15/2024 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
68001-0642-41
DECITABINE LYOPHILIZED 50 MG
|
| Detail Information |
| Relationship Start Date |
03/03/2025 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
69097-0285-37
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/17/2017 |
| Relationship End Date |
02/15/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
69097-0905-67
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/10/2021 |
| Relationship End Date |
09/01/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
70121-1644-01
DECITABINE (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
01/28/2020 |
| Relationship End Date |
07/11/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
70860-0219-20
DECITABINE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2021 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
71288-0119-20
DECITABINE (SDV,PF,LATEX-FREE) 50 MG
|
| Detail Information |
| Relationship Start Date |
07/05/2022 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
72205-0031-01
DECITABINE (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
09/25/2019 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
72205-0036-01
DECITABINE NOVAPLUS (SDV,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
03/09/2020 |
| 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 |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
72603-0107-01
DECITABINE (LATEX-FREE,LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
01/04/2021 |
| 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 |
|
|
|
J0894
Injection, decitabine, 1 mg
|
⇄
|
75834-0190-01
DECITABINE 50 MG VIAL
|
| Detail Information |
| Relationship Start Date |
02/02/2021 |
| Relationship End Date |
10/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J0894
INJECTION, DECITABINE, 1 MG
|
⇄
|
75843-0190-01
DECITABINE (LYOPHILIZED) 50 MG
|
| Detail Information |
| Relationship Start Date |
12/31/2020 |
| 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 |
|
|
|
J0894
Decitabine injection
|
⇄
|
16729-0224-05
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
70860-0219-20
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
68001-0573-41
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
68001-0618-37
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
68001-0642-41
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
69097-0905-67
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
43598-0427-37
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
55111-0556-10
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
55150-0376-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
00143-9385-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
50742-0430-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
71288-0119-20
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
67457-0316-25
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
75834-0190-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
72603-0107-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
72205-0031-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
72205-0036-01
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
59148-0046-70
Dacogen
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
25021-0219-20
Decitabine
|
| 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 |
|
|
|
|
J0894
Decitabine injection
|
⇄
|
25021-0231-20
Decitabine
|
| 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 |
|
|
|
|