| Source HCPCS Code |
|
Target NDC Code |
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
00469-5118-05
ARISTOSPAN (VIAL) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/18/2003 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
00469-5119-01
ARISTOSPAN (VIAL) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/18/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
00469-5119-05
ARISTOSPAN (VIAL) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/18/2003 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
00781-3084-75
ARISTOSPAN 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/29/2007 |
| Relationship End Date |
8/29/2013 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
|
⇄
|
00781-3085-71
|
| 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 |
|
|
|
|
J3303
|
⇄
|
00781-3085-75
|
| 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 |
|
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
54569-2184-00
ARISTOSPAN (VIAL) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
|
⇄
|
54569-5733-00
|
| 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 |
|
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
54643-1043-00
ARISTOSPAN 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/19/2003 |
| Relationship End Date |
12/31/2004 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
54643-1054-00
ARISTOSPAN (VIAL) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/15/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
54643-1055-00
ARISTOSPAN (VIAL) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/15/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
54643-1056-00
ARISTOSPAN (VIAL) 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
3/15/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
54868-3344-00
ARISTOSPAN (M.D.V.) 20 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 |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J3303
INJECTION, TRIAMCINOLONE HEXACETONIDE, PER 5MG
|
⇄
|
58016-4855-01
ARISTOSPAN 20 MG/ML
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|