| Source HCPCS Code |
|
Target NDC Code |
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00074-3109-32
GENGRAF (BLISTER PACK) 100 MG
|
| Detail Information |
| Relationship Start Date |
11/10/2015 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00074-6479-32
GENGRAF (BLISTER PACK) 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/9/2015 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00074-7269-50
GENGRAF 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/18/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00078-0110-22
SANDIMMUNE 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
07/02/2024 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00078-0241-15
SANDIMMUNE (SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00078-0241-61
SANDIMMUNE (INNER PACK, SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/05/2012 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BP |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00078-0248-15
NEORAL (SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00078-0274-22
NEORAL 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00093-5742-65
CYCLOSPORINE (USP,MODIFIED,SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
08/27/2015 |
| Relationship End Date |
01/31/2023 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00093-9020-65
CYCLOSPORINE, MODIFIED (USP,SOFT GELATIN) 100 MG
|
| Detail Information |
| Relationship Start Date |
06/08/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00172-7312-46
CYCLOSPORINE (USP,MODIFIED,SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
4/14/2005 |
| Relationship End Date |
5/2/2017 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00172-7313-20
CYCLOSPORINE (USP,MODIFIED) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
04/14/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00185-0933-30
CYCLOSPORINE (SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
02/28/2020 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
|
⇄
|
00574-0866-10
|
| 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 |
|
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00591-2223-15
CYCLOSPORINE (USP, MODIFIED) 100 MG
|
| Detail Information |
| Relationship Start Date |
12/23/2008 |
| Relationship End Date |
8/2/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
00591-2224-55
CYCLOSPORINE (1X50ML,MODIFIED) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/23/2008 |
| Relationship End Date |
4/7/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
23155-0839-30
CYCLOSPORINE, MODIFIED (SOFT GELATIN) 100 MG
|
| Detail Information |
| Relationship Start Date |
12/19/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
50111-0885-42
CYCLOSPORINE 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/25/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
50111-0920-43
CYCLOSPORINE (SOFTGEL) 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/22/2008 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
51862-0460-47
CYCLOSPORINE (USP,SOFT GELATIN) 100 MG
|
| Detail Information |
| Relationship Start Date |
08/03/2016 |
| Relationship End Date |
02/28/2026 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
54868-5522-00
CYCLOSPORINE 100 MG
|
| Detail Information |
| Relationship Start Date |
2/10/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
60432-0140-50
CYCLOSPORINE 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
9/28/2004 |
| Relationship End Date |
2/1/2015 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
60505-0134-00
CYCLOSPORINE 100 MG
|
| Detail Information |
| Relationship Start Date |
05/17/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
60505-0354-01
CYCLOSPORINE (U.S.P.) 100 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/1/2005 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
60505-4632-03
CYCLOSPORINE (5X6,USP,MODIFIED,PF,SF) 100 MG
|
| Detail Information |
| Relationship Start Date |
12/06/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
62584-0827-21
CYCLOSPORINE (USP,3X10) 100 MG
|
| Detail Information |
| Relationship Start Date |
10/19/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
CYCLOSPORINE, ORAL, 100 MG
|
⇄
|
75907-0048-30
CYCLOSPORINE USP,MODIFIED,SOFT GELATIN 100 MG
|
| Detail Information |
| Relationship Start Date |
03/27/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00074-3109-32
Gengraf
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00074-7269-50
Gengraf
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
68084-0921-25
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
60505-0134-00
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
60505-4632-03
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
23155-0839-30
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00172-7313-20
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00078-0110-22
Sandimmune
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00078-0241-15
Sandimmune
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00078-0248-15
Neoral
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00078-0274-22
Neoral
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00093-9018-65
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00093-9019-65
Cyclosporine
|
| 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 |
|
|
|
|
J7502
Cyclosporine oral 100 mg
|
⇄
|
00093-9020-65
Cyclosporine
|
| 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 |
|
|
|
|