| Source HCPCS Code |
|
Target NDC Code |
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
00013-8715-62
ZINECARD (S.D.V.) 250 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2009 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
|
⇄
|
00013-8717-62
|
| 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 |
|
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
00013-8725-89
ZINECARD (S.D.V.) 500 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2009 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
|
⇄
|
00013-8727-89
|
| 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 |
|
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
00143-9247-01
DEXRAZOXANE (SDV W/DILUENT) 250 MG
|
| Detail Information |
| Relationship Start Date |
01/29/2018 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
00143-9248-01
DEXRAZOXANE (SDV W/ DILUENT) 500 MG
|
| Detail Information |
| Relationship Start Date |
01/29/2018 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
38423-0110-01
TOTECT (W/10 VIALS OF DILUENT) 500 MG
|
| Detail Information |
| Relationship Start Date |
9/6/2007 |
| Relationship End Date |
4/21/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
47781-0578-07
DEXRAZOXANE (SDV,W/DILUENT) 500 MG
|
| Detail Information |
| Relationship Start Date |
09/14/2017 |
| Relationship End Date |
12/01/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
51991-0942-98
DEXRAZOXANE (LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
09/15/2017 |
| Relationship End Date |
02/24/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
Injection, dexrazoxane hydrochloride, per 250 mg
|
⇄
|
55150-0432-01
DEXRAZOXANE 250 MG VIAL
|
| Detail Information |
| Relationship Start Date |
09/13/2012 |
| 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 |
|
|
|
J1190
Injection, dexrazoxane hydrochloride, per 250 mg
|
⇄
|
55150-0432-02
DEXRAZOXANE 250 MG VIAL
|
| Detail Information |
| Relationship Start Date |
09/13/2012 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
55150-0434-01
DEXRAZOXANE (SDV;W/DILUENT,PF) 250 MG
|
| Detail Information |
| Relationship Start Date |
10/17/2022 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
55150-0434-02
DEXRAZOXANE NOVAPLUS (SDV;W/DILUENT,PF) 250 MG
|
| Detail Information |
| Relationship Start Date |
01/19/2023 |
| 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 |
|
|
|
J1190
Injection, dexrazoxane hydrochloride, per 250 mg
|
⇄
|
55150-0435-01
DEXRAZOXANE 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
09/13/2012 |
| 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 |
|
|
|
J1190
Injection, dexrazoxane hydrochloride, per 250 mg
|
⇄
|
55150-0437-01
DEXRAZOXANE 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
10/01/2022 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
55390-0014-02
DEXRAZOXANE 250 MG
|
| Detail Information |
| Relationship Start Date |
4/8/2005 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
55390-0060-02
DEXRAZOXANE 500 MG
|
| Detail Information |
| Relationship Start Date |
4/8/2005 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
66220-0110-01
TOTECT (LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
07/25/2017 |
| Relationship End Date |
08/30/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
Injection, dexrazoxane hydrochloride, per 250 mg
|
⇄
|
67457-0207-25
DEXRAZOXANE 250 MG VIAL
|
| Detail Information |
| Relationship Start Date |
11/18/2011 |
| Relationship End Date |
10/17/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
Injection, dexrazoxane hydrochloride, per 250 mg
|
⇄
|
67457-0208-50
DEXRAZOXANE 500 MG VIAL
|
| Detail Information |
| Relationship Start Date |
06/15/2017 |
| Relationship End Date |
10/17/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
72205-0247-01
DEXRAZOXANE SDV,LYOPHILIZED 250 MG
|
| Detail Information |
| Relationship Start Date |
05/19/2025 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
72205-0248-01
DEXRAZOXANE SDV,LYOPHILIZED 500 MG
|
| Detail Information |
| Relationship Start Date |
05/19/2025 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
72266-0101-01
DEXRAZOXANE (LATEX-FREE,LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
03/18/2019 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
72266-0235-01
DEXRAZOXANE (SDV,PF,LATEX-FREE) 250 MG
|
| Detail Information |
| Relationship Start Date |
11/22/2021 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
72611-0716-01
DEXRAZOXANE (PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
01/05/2021 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
72611-0716-72
DEXRAZOXANE NOVAPLUS (PF,LATEX-FREE) 500 MG
|
| Detail Information |
| Relationship Start Date |
07/06/2022 |
| 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 |
|
|
|
J1190
INJECTION, DEXRAZOXANE HYDROCHLORIDE, PER 250 MG
|
⇄
|
76310-0110-01
TOTECT (LYOPHILIZED) 500 MG
|
| Detail Information |
| Relationship Start Date |
08/31/2020 |
| Relationship End Date |
11/30/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
72611-0716-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
72611-0716-72
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
55150-0434-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
55150-0434-02
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
55150-0437-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
72266-0101-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
72266-0235-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
00143-9247-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
00143-9248-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
72205-0247-01
Dexrazoxane
|
| 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 |
|
|
|
|
J1190
Dexrazoxane hcl injection
|
⇄
|
72205-0248-01
Dexrazoxane
|
| 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 |
|
|
|
|