| Source HCPCS Code |
|
Target NDC Code |
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00008-0304-01
PHENOBARBITAL SODIUM (TUBEX,22GX1 1/4") 130 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/1/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00074-1540-01
LUMINAL SODIUM (AMP) 130 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/18/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00074-2343-01
LUMINAL SODIUM (CARPUJECT) 60 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/6/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00074-2343-31
LUMINAL SODIUM (LUER LOCK,CARPUJECT) 60 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/18/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00074-2349-01
LUMINAL SODIUM (CARPUJECT) 130 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/6/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00074-2349-31
LUMINAL SODIUM (LUER LOCK,CARPUJECT) 130 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/6/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00409-2343-31
LUMINAL SODIUM (LUER LOCK,10X1ML) 60 MG/ML
|
| Detail Information |
| Relationship Start Date |
9/19/2005 |
| Relationship End Date |
4/1/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00409-2349-31
LUMINAL SODIUM (LUER LOCK,CARPUJECT) 130 MG/ML
|
| Detail Information |
| Relationship Start Date |
9/7/2005 |
| Relationship End Date |
4/28/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00641-0476-21
PHENOBARBITAL SODIUM (VIAL, DOSETTE) 65 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/08/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
Injection, phenobarbital sodium, up to 120 mg
|
⇄
|
00641-0476-25
PHENOBARBITAL 65 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
00641-0477-21
PHENOBARBITAL SODIUM (DOSETTE VIAL) 130 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/08/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
Injection, phenobarbital sodium, up to 120 mg
|
⇄
|
00641-0477-25
PHENOBARBITAL 130 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
14789-0127-05
PHENOBARBITAL SODIUM (SDV,LATEX-FREE) 65 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
14789-0128-05
PHENOBARBITAL SODIUM (SDV,LATEX-FREE) 130 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
12/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
17317-0413-01
SODIUM PHENOBARBITAL (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/1/2014 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
38779-0853-04
PHENOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/23/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
38779-0853-05
PHENOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/23/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2560
Injection, phenobarbital sodium, up to 120 mg
|
⇄
|
42494-0415-01
PHENOBARBITAL 65 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
02/19/2020 |
| Relationship End Date |
07/31/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
42494-0415-03
PHENOBARBITAL SODIUM (3X1ML;USP) 65 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
42494-0415-25
PHENOBARBITAL SODIUM (25X1ML;USP) 65 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
Injection, phenobarbital sodium, up to 120 mg
|
⇄
|
42494-0416-01
PHENOBARBITAL 130 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
02/19/2020 |
| Relationship End Date |
10/31/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
42494-0416-03
PHENOBARBITAL SODIUM (3X1ML;USP) 130 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
42494-0416-25
PHENOBARBITAL SODIUM (25X1ML;USP) 130 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
Injection, phenobarbital sodium, up to 120 mg
|
⇄
|
42494-0441-01
PHENOBARBITAL 65 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
08/09/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
42494-0441-25
PHENOBARBITAL SODIUMNOVAPLUS 65 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/24/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
Injection, phenobarbital sodium, up to 120 mg
|
⇄
|
42494-0442-01
PHENOBARBITAL 130 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
08/09/2023 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
42494-0442-25
PHENOBARBITAL SODIUM NOVAPLUS 130 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/24/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
49452-5200-03
PHENOBARBITAL SODIUM (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
6/1/2015 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
GM |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
54288-0136-10
PHENOBARBITAL SODIUM (PF) 65 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/04/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
54288-0136-25
PHENOBARBITAL SODIUM (PF) 65 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
54288-0137-10
PHENOBARBITAL SODIUM (PF) 130 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/04/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
54288-0137-25
PHENOBARBITAL SODIUM (PF) 130 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
54569-3282-00
PHENOBARBITAL SODIUM SOLUTION (TUBEX) 60 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
INJECTION, PHENOBARBITAL SODIUM, UP TO 120 MG
|
⇄
|
54868-3859-01
PHENOBARBITAL SODIUM (TUBEX) 30 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
42494-0415-03
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
42494-0415-25
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
42494-0416-03
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
42494-0416-25
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
42494-0441-25
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
42494-0442-25
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
00641-0476-25
Phenobarbital Sodium
|
| 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 |
|
|
|
|
J2560
Phenobarbital sodium inj
|
⇄
|
00641-0477-25
Phenobarbital Sodium
|
| 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 |
|
|
|
|