| Source HCPCS Code |
|
Target NDC Code |
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
00078-0109-01
SANDIMMUNE (AMP) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7516
Cyclosporin, parenteral, 250 mg
|
⇄
|
00078-0109-61
SANDIMMUNE 50 MG/ML AMPUL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7516
Cyclosporin, parenteral, 250 mg
|
⇄
|
00574-0866-01
CYCLOSPORINE 250 MG/5 ML AM
|
| Detail Information |
| Relationship Start Date |
04/01/2023 |
| Relationship End Date |
08/01/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
00574-0866-10
CYCLOSPORINE 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
12/12/2012 |
| Relationship End Date |
08/01/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
38779-0660-03
CYCLOSPORIN A
|
| Detail Information |
| Relationship Start Date |
02/06/2002 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
38779-0660-04
CYCLOSPORIN A
|
| Detail Information |
| Relationship Start Date |
02/06/2002 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
38779-0660-05
CYCLOSPORIN A
|
| Detail Information |
| Relationship Start Date |
02/06/2002 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
38779-0660-06
CYCLOSPORIN A
|
| Detail Information |
| Relationship Start Date |
02/06/2002 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
51552-0663-01
CYCLOSPORIN A
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
51552-0663-02
CYCLOSPORINE (1X5GM,USP)
|
| 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 |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
51552-0663-04
CYCLOSPORINE (1X25GM,USP)
|
| 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 |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
51552-0663-06
CYCLOSPORINE (1X500MG,USP)
|
| Detail Information |
| Relationship Start Date |
9/1/2003 |
| Relationship End Date |
1/1/2015 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
51927-3196-00
CYCLOSPORIN A (USP)
|
| Detail Information |
| Relationship Start Date |
09/08/2003 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
55390-0122-10
CYCLOSPORINE (S.D.V.) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/5/2014 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
62991-1533-01
CYCLOSPORINE (U.S.P.,A)
|
| Detail Information |
| Relationship Start Date |
09/15/2003 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
62991-1533-02
CYCLOSPORINE (U.S.P.,A)
|
| Detail Information |
| Relationship Start Date |
09/15/2003 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
62991-1533-05
CYCLOSPORINE (U.S.P.,A)
|
| Detail Information |
| Relationship Start Date |
01/01/2008 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
63370-0057-10
CYCLOSPORIN A (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| Relationship End Date |
5/31/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
JR |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
63370-0057-15
CYCLOSPORIN A (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
63370-0057-25
CYCLOSPORIN A (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
63370-0057-35
CYCLOSPORIN A (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
7/8/2003 |
| 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 |
|
|
|
J7516
CYCLOSPORIN, PARENTERAL, 250 MG
|
⇄
|
63370-0057-45
CYCLOSPORIN A (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
12/19/2003 |
| 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 |
|
|
|
J7516
Inj, cyclosporine 250mg
|
⇄
|
00078-0109-01
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 |
|
|
|
|
J7516
Inj, cyclosporine 250mg
|
⇄
|
00574-0866-10
Cyclosporine Injection
|
| 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 |
|
|
|
|