| Source HCPCS Code |
|
Target NDC Code |
J1308
INJECTION, FAMOTIDINE, 0.25 MG
|
⇄
|
00338-5197-41
FAMOTIDINE GALAXY PC 0.4 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
00641-6021-01
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
00641-6021-10
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
00641-6022-01
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
00641-6022-25
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
00641-6023-01
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
INJECTION, FAMOTIDINE, 0.25 MG
|
⇄
|
00641-6023-10
FAMOTIDINE 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
INJECTION, FAMOTIDINE, 0.25 MG
|
⇄
|
25021-0753-02
FAMOTIDINE SDV 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
63323-0738-03
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
63323-0738-06
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
63323-0738-09
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
INJECTION, FAMOTIDINE, 0.25 MG
|
⇄
|
63323-0738-20
FAMOTIDINE M.D.V., 10X20ML,CONCENTRATED 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
63323-0739-11
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
INJECTION, FAMOTIDINE, 0.25 MG
|
⇄
|
63323-0739-12
FAMOTIDINE SDV,CONCENTRATED 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
63323-0739-16
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
63323-0739-41
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
67457-0433-00
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
67457-0433-22
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
67457-0448-00
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
67457-0448-43
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
67457-0457-00
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
67457-0457-20
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
INJECTION, FAMOTIDINE, 0.25 MG
|
⇄
|
70860-0751-02
FAMOTIDINE SDV 10 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
70860-0751-41
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
07/31/2026 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
70860-0753-20
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
04/02/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Injection, famotidine, 0.25 mg
|
⇄
|
70860-0753-41
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2025 |
| Relationship End Date |
04/02/2025 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
70860-0751-02
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
70860-0753-20
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
00338-5197-41
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
63323-0738-09
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
63323-0738-20
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
63323-0739-12
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
63323-0739-16
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
51662-1375-01
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
51662-1375-02
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
00641-6021-10
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
00641-6022-25
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
00641-6023-10
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
67457-0433-22
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
67457-0448-43
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
67457-0457-20
Famotidine
|
| 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 |
|
|
|
|
J1308
Inj, famotidine, 0.25 mg
|
⇄
|
25021-0753-02
Famotidine
|
| 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 |
|
|
|
|