| Source HCPCS Code |
|
Target NDC Code |
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00049-3371-26
DIFLUCAN IV (SODIUM CHLORIDE DILUENT) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00049-3372-26
DIFLUCAN IV (SODIUM CHLORIDE DILUENT) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00049-3435-26
DIFLUCAN IV (VIAFLEX,SODIUM CHLORIDE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2011 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00049-3436-26
DIFLUCAN IV (VIAFLEX,SODIUM CHLORIDE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2011 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00049-3437-26
DIFLUCAN IV (VIAFLEX, DEXTROSE,AF) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00049-3438-26
DIFLUCAN IV (VIAFLEX, DEXTROSE,AF) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
00069-0038-03
|
| 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 |
|
|
|
|
J1450
|
⇄
|
00069-0045-03
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00074-4684-02
FLUCONAZOLE (6X200ML) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
4/1/2006 |
| Relationship End Date |
3/5/2007 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
00074-4684-23
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00074-4688-02
FLUCONAZOLE (6X200ML) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
6/1/2005 |
| Relationship End Date |
7/26/2006 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00074-4688-23
FLUCONAZOLE 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
6/1/2005 |
| Relationship End Date |
6/15/2006 |
| Number Of Items In Ndc Package |
600 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
00074-4688-27
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00074-4688-28
FLUCONAZOLE NOVAPLUS 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
5/30/2005 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00074-4688-33
AMERINET CHOICE FLUCONAZOLE (6X200ML,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
4/1/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00074-4688-34
FLUCONAZOLE NOVAPLUS (6X200ML) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
6/1/2005 |
| Relationship End Date |
3/1/2006 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
00143-9666-06
|
| 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 |
|
|
|
|
J1450
|
⇄
|
00143-9667-06
|
| 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 |
|
|
|
|
J1450
|
⇄
|
00143-9668-06
|
| 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 |
|
|
|
|
J1450
|
⇄
|
00143-9669-06
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00143-9899-06
FLUCONAZOLE (6X100ML) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
4/3/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
GC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
00143-9899-91
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00338-6045-37
FLUCONAZOLE (INTRAVIA CONTAINER) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
07/29/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00338-6046-48
FLUCONAZOLE (INTRAVIA CONTAINERS) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
07/29/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Injection fluconazole, 200 mg
|
⇄
|
00409-3435-01
FLUCONAZOLE-NACL 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
08/27/2009 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-3435-24
FLUCONAZOLE IN SODIUM CHLORIDE 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
03/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Injection fluconazole, 200 mg
|
⇄
|
00409-4321-01
FLUCONAZOLE-NACL 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
08/27/2009 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4321-24
FLUCONAZOLE IN SODIUM CHLORIDE 24X200ML 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4684-02
FLUCONAZOLE (6X200ML,LATEX-FREE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
3/6/2007 |
| Relationship End Date |
9/1/2015 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4684-12
FLUCONAZOLE (LATEX-FREE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
12/29/2015 |
| Relationship End Date |
9/1/2017 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4684-23
FLUCONAZOLE (6X100ML) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
4/14/2006 |
| Relationship End Date |
11/17/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-02
FLUCONAZOLE (6X200ML) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
7/27/2006 |
| Relationship End Date |
11/1/2016 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-12
FLUCONAZOLE 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
12/29/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Injection fluconazole, 200 mg
|
⇄
|
00409-4688-16
FLUCONAZOLE-NACL 400 MG/200
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
02/03/2026 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-18
FLUCONAZOLE (LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
12/18/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Injection fluconazole, 200 mg
|
⇄
|
00409-4688-22
FLUCONAZOLE-NACL 200 MG/100
|
| Detail Information |
| Relationship Start Date |
10/28/2004 |
| Relationship End Date |
03/03/2026 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FLEX CONT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-23
FLUCONAZOLE (6X100ML,LATEX FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
06/16/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-27
AMERINET CHOICE FLUCONAZOLE (100MLX6,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
5/27/2006 |
| Relationship End Date |
6/10/2013 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-28
NOVAPLUS FLUCONAZOLE (6X100ML, LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
6/1/2005 |
| Relationship End Date |
12/1/2015 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-33
AMERINET CHOICE FLUCONAZOLE (6X200ML,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
10/25/2006 |
| Relationship End Date |
6/10/2013 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00409-4688-34
NOVAPLUS FLUCONAZOLE (6X200ML,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
3/2/2006 |
| Relationship End Date |
2/1/2016 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00703-1010-09
FLUCONAZOLE IV 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
8/2/2004 |
| Relationship End Date |
9/5/2013 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
00703-1019-09
FLUCONAZOLE IV 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
8/2/2004 |
| Relationship End Date |
9/5/2013 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Injection fluconazole, 200 mg
|
⇄
|
00703-1020-30
FLUCONAZOLE-NS 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Injection fluconazole, 200 mg
|
⇄
|
00703-1029-30
FLUCONAZOLE-NS 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
04/15/2017 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
25021-0113-82
|
| 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 |
|
|
|
|
J1450
|
⇄
|
25021-0113-87
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
25021-0184-66
FLUCONAZOLE IN SODIUM CHLORIDE NOVAPLUS (10X100ML,PF,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
04/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
25021-0184-67
FLUCONAZOLE IN SODIUM CHLORIDE NOVAPLUS (10X200ML,PF,LATEX-FREE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
04/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
25021-0184-82
FLUCONAZOLE (10X100ML,PF,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
04/23/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
25021-0184-87
FLUCONAZOLE (10X200ML,PF,LATEX-FREE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
04/23/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
49452-3151-01
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
3/15/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
49452-3151-02
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
3/15/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
49452-3151-03
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
11/15/2004 |
| Relationship End Date |
3/15/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
51552-1031-01
FLUCONAZOLE (1X1GM)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
51552-1031-02
FLUCONAZOLE (1X5GM)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
51552-1031-04
FLUCONAZOLE (1X25GM)
|
| Detail Information |
| Relationship Start Date |
09/01/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
|
⇄
|
51552-1031-05
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
55390-0012-01
FLUCONAZOLE 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
7/29/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
55390-0046-01
FLUCONAZOLE 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
7/29/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
|
⇄
|
55390-0194-01
|
| 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 |
|
|
|
|
J1450
|
⇄
|
55390-0227-01
|
| 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 |
|
|
|
|
J1450
|
⇄
|
55390-0228-01
|
| 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 |
|
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
59762-5034-02
FLUCONAZOLE IV (VIAFLEX,SODIUM CHLORIDE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
9/9/2004 |
| Relationship End Date |
12/22/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
59762-5035-02
FLUCONAZOLE IV (VIAFLEX,SODIUM CHLORIDE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
9/9/2004 |
| Relationship End Date |
12/22/2006 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
59762-5036-02
FLUCONAZOLE IV (VIAFLEX, DEXTROSE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
9/9/2004 |
| Relationship End Date |
12/22/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
59762-5037-02
FLUCONAZOLE IV (VIAFLEX, DEXTROSE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
9/9/2004 |
| Relationship End Date |
12/22/2006 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
60505-0733-01
FLUCONAZOLE (FLEXBAG) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
5/25/2005 |
| Relationship End Date |
8/8/2013 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
60505-0733-02
FLUCONAZOLE (FLEXBAG) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
5/25/2005 |
| Relationship End Date |
8/8/2013 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
60505-0734-01
FLUCONAZOLE (FLEXBAG,DEXTROSE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
5/25/2005 |
| Relationship End Date |
8/8/2013 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
60505-0734-02
FLUCONAZOLE (FLEXBAG,DEXTROSE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
5/25/2005 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
61703-0414-63
FLUCONAZOLE (PVC FLEXIBLE BAGS) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
10/2/2011 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
61703-0414-64
FLUCONAZOLE (PVC FLEXIBLE BAGS) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
10/2/2011 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63275-9960-01
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
05/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63275-9960-02
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
05/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63275-9960-04
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
05/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63275-9960-05
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
05/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63275-9960-09
FLUCONAZOLE
|
| Detail Information |
| Relationship Start Date |
05/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63323-0308-61
FLUCONAZOLE (GLASS BOTTLE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
7/8/2004 |
| Relationship End Date |
11/14/2012 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63323-0308-63
FLUCONAZOLE (GLASS BOTTLE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
7/8/2004 |
| Relationship End Date |
11/14/2012 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63370-0089-25
FLUCONAZOLE (USP)
|
| Detail Information |
| Relationship Start Date |
7/12/2004 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63370-0089-35
FLUCONAZOLE (USP)
|
| Detail Information |
| Relationship Start Date |
7/12/2004 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63370-0089-45
FLUCONAZOLE (USP)
|
| Detail Information |
| Relationship Start Date |
7/12/2004 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
63370-0089-50
FLUCONAZOLE (USP)
|
| Detail Information |
| Relationship Start Date |
7/12/2004 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
69784-0002-06
FLUCONAZOLE IN SODIUM CHLORIDE (6X100;USP,PF) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
03/11/2021 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
69784-0003-06
FLUCONAZOLE IN SODIUM CHLORIDE (6X200ML;USP,PF) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
12/21/2020 |
| Relationship End Date |
03/31/2025 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
70655-0002-06
FLUCONAZOLE (PF,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
08/31/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
70655-0002-10
FLUCONAZOLE (PF,LATEX-FREE) 200 MG/100 ML
|
| Detail Information |
| Relationship Start Date |
08/31/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
70655-0088-06
FLUCONAZOLE (PF,LATEX-FREE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
08/31/2018 |
| Relationship End Date |
01/31/2020 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
INJECTION FLUCONAZOLE, 200 MG
|
⇄
|
70655-0088-10
FLUCONAZOLE (PF,LATEX-FREE) 400 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
08/31/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1450
Fluconazole
|
⇄
|
00338-6045-37
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
00338-6046-48
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
00409-3435-24
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
00409-4321-24
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
00409-4688-12
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
00409-4688-18
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
25021-0184-66
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
25021-0184-67
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
25021-0184-82
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|
J1450
Fluconazole
|
⇄
|
25021-0184-87
Fluconazole In Sodium Chloride
|
| 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 |
|
|
|
|