| Source HCPCS Code |
|
Target NDC Code |
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00004-0038-22
VALCYTE 450 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8940-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8940-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8940-93
ACYCLOVIR (USP,HARD GELATIN) 200 MG
|
| Detail Information |
| Relationship Start Date |
11/30/2007 |
| Relationship End Date |
11/27/2012 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8943-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8943-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8947-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00093-8947-05
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4266-60
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/31/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4266-70
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/31/2006 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4267-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/28/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4267-70
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/23/2007 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4268-60
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/10/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00172-4268-70
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/15/2007 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0945-55
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/8/2017 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0949-55
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/8/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0953-96
ZOVIRAX 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/13/2014 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0991-55
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/2/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00173-0991-56
ZOVIRAX (2X5X10) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/7/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00182-2666-89
ACYCLOVIR (10X10) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/29/2007 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00182-2667-89
ACYCLOVIR (10X10) 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/14/2008 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00182-8200-89
ACYCLOVIR (10X10) 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/14/2008 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00228-2605-11
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/4/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00228-2605-50
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/4/2006 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00228-2606-11
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/4/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00228-2606-50
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/4/2006 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00228-2607-11
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/4/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00228-2607-50
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/4/2006 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00364-2689-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/9/2002 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00364-2690-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/1/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00364-2692-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-0253-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-0302-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/14/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-2200-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-2200-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/16/2004 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-8712-73
ACYCLOVIR (BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
10/10/2018 |
| Relationship End Date |
02/28/2023 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00378-9735-73
ZOVIRAX 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
10/05/2018 |
| Relationship End Date |
02/28/2023 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00472-0082-16
ACYCLOVIR 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
480 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-0335-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/22/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-0335-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/18/2003 |
| Relationship End Date |
10/31/2005 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-0336-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
7/2/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-0336-05
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
11/18/2003 |
| Relationship End Date |
12/6/2005 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2692-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00591-2692-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
11/18/2003 |
| Relationship End Date |
12/6/2005 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00597-0143-60
OFEV 100 MG
|
| Detail Information |
| Relationship Start Date |
10/16/2014 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00597-0145-60
OFEV 150 MG
|
| Detail Information |
| Relationship Start Date |
10/16/2014 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00603-6330-20
VALGANCICLOVIR HYDROCHLORIDE (USP,FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
11/18/2014 |
| Relationship End Date |
11/30/2022 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-5789-61
ACYCLOVIR (10X10,USP,HARD GELATIN) 200 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2013 |
| Relationship End Date |
06/18/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-5790-61
ACYCLOVIR (10X10,USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
09/13/2013 |
| Relationship End Date |
03/11/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-5799-61
ACYCLOVIR (10X10,USP) 800 MG
|
| Detail Information |
| Relationship Start Date |
1/12/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6796-04
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
08/27/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-6796-10
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
08/27/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-7507-61
ACYCLOVIR 10X10 400 MG
|
| Detail Information |
| Relationship Start Date |
03/17/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
00904-7519-61
ACYCLOVIR 10X10 200 MG
|
| Detail Information |
| Relationship Start Date |
11/24/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0182-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0182-03
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0182-06
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0182-09
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0182-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0183-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0183-03
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0183-06
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0183-09
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
13411-0183-10
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
8/23/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16477-0510-08
MILLIPRED (1X237ML,AF,DYE-FREE) 10 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
4/30/2008 |
| Relationship End Date |
7/14/2014 |
| Number Of Items In Ndc Package |
237 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16571-0600-96
CROMOLYN SODIUM (96X5ML,CONCENTRATE) 100MG/5ML
|
| Detail Information |
| Relationship Start Date |
12/12/2011 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16590-0003-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16590-0003-60
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16590-0370-20
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/1/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16590-0370-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/1/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16590-0370-40
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/1/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
16714-0765-01
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
04/03/2018 |
| Relationship End Date |
10/31/2022 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
17236-0854-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
8/31/2004 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
17236-0855-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/1/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
21695-0010-20
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/30/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
21695-0010-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
5/19/2008 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
21695-0010-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2007 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
21695-0010-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/30/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
21695-0011-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
5/19/2008 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0119-01
CALCITRIOL 0.5 MCG
|
| Detail Information |
| Relationship Start Date |
05/28/2013 |
| Relationship End Date |
04/30/2020 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0229-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0229-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
05/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0485-51
ACYCLOVIR (BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
06/23/2021 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23155-0663-01
CALCITRIOL (SOFTGEL) 0.5 MCG
|
| Detail Information |
| Relationship Start Date |
06/20/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5011-01
ACYCLOVIR 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
10/11/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5012-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5012-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5012-03
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5012-04
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5013-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5013-02
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5013-03
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5013-04
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/11/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5015-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
2/7/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
23490-5015-02
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
10/11/2007 |
| Relationship End Date |
1/1/2013 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
27241-0158-60
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
02/10/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0009-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0010-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0010-28
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0010-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0010-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0011-25
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0011-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
33358-0011-35
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
07/10/2007 |
| Relationship End Date |
04/01/2020 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0017-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/21/2019 |
| Relationship End Date |
02/28/2025 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0017-50
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/21/2019 |
| Relationship End Date |
09/30/2025 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
42291-0973-60
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
12/21/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0565-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/22/2009 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0566-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/22/2009 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49884-0567-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/22/2009 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0086-00
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0086-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
7/29/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0086-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
7/13/2005 |
| Relationship End Date |
6/1/2017 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0086-90
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
7/13/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0231-35
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
06/02/2005 |
| Relationship End Date |
10/11/2019 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0385-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0385-15
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0385-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
49999-0385-40
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/2/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
50383-0810-16
ACYCLOVIR (BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
06/13/2005 |
| Relationship End Date |
02/23/2023 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
50962-0453-60
ACYCLOVIR (5X10) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/1/2002 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0876-01
ACYCLOVIR (USP) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0876-20
ACYCLOVIR (10X10) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0877-01
ACYCLOVIR (USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0877-20
ACYCLOVIR (10X10) 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0878-01
ACYCLOVIR (USP) 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51079-0878-20
ACYCLOVIR (10X10) 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51655-0296-51
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
11/16/2012 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51655-0296-54
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
11/16/2012 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51655-0296-76
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
11/16/2012 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51655-0300-51
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
11/16/2012 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51655-0300-54
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
11/16/2012 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
51655-0300-76
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
11/16/2012 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52544-0335-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/21/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52544-0336-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/1/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0330-00
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0330-25
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0330-50
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0517-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0517-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0517-35
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-12
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-21
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-40
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
08/24/2007 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0544-50
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
12/31/2019 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
52959-0678-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
10/07/2003 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-0091-00
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-0091-01
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-0091-02
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/1/2002 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4192-00
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4192-01
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/10/2003 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4482-00
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4482-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4482-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2003 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4482-03
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2004 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4482-04
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/11/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4482-06
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
4/26/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4724-00
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-00
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/31/2003 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-02
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-03
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-04
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
45 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-06
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54569-4765-09
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/1/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
45 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-0163-01
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/19/2003 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-0163-02
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-0163-03
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/19/2003 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-0163-04
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/19/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-0163-05
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/15/2002 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-0163-06
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/19/2003 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-2184-00
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-2184-02
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-2184-03
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-2184-04
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3025-00
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3996-00
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3996-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3996-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3996-03
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3996-04
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/17/2004 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3996-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
8/6/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3997-00
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3997-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/12/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3997-02
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
9/25/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3997-03
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/20/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3997-04
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/3/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3997-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/1/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-00
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-02
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
3/5/2003 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-03
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
12/8/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-04
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/28/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-05
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-06
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
7/6/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-07
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
7/23/2004 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
54868-3998-08
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/22/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2565-00
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2565-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
12/6/2004 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2565-04
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2565-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2565-08
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2571-00
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2571-02
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2571-04
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2571-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2571-06
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2571-08
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2648-00
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2648-02
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
7/1/2003 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2648-03
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2648-05
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55045-2648-06
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0006-10
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0006-25
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0006-35
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0006-50
ZOVIRAX 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0273-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0273-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0273-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
08/01/2006 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0273-35
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0273-50
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/15/2004 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-12
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-21
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
08/17/2006 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-35
ACYCLOVIR (USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
04/21/2008 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0462-60
ACYCLOVIR (USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2006 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0564-15
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0564-20
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0564-48
ZOVIRAX 800 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
48 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0629-10
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
08/26/2002 |
| Relationship End Date |
09/06/2019 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0629-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
06/05/2007 |
| Relationship End Date |
09/06/2019 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0629-50
ACYCLOVIR (USP) 800 MG
|
| Detail Information |
| Relationship Start Date |
04/23/2008 |
| Relationship End Date |
09/06/2019 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0691-12
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
12 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0691-15
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55289-0691-25
ZOVIRAX 400 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55370-0555-07
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55370-0555-09
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/14/2003 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55370-0556-07
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/14/2003 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55370-0556-08
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/14/2003 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55370-0557-07
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2006 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55370-0557-09
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
7/14/2003 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-21
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2005 |
| Relationship End Date |
5/1/2007 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2005 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-40
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-50
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/1/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0246-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/23/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0853-25
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0853-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2004 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0853-35
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0853-50
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0853-60
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0853-90
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0977-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
4/1/2007 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
55887-0977-40
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
11/29/2005 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
57866-6950-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
4/15/2002 |
| Relationship End Date |
5/25/2011 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
57866-6950-03
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
4/15/2002 |
| Relationship End Date |
5/25/2011 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-00
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-15
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-20
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-60
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0111-90
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2006 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0112-00
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
5/31/2005 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0112-20
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
5/31/2005 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0112-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
5/31/2005 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0112-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
8/9/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0112-90
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
5/31/2005 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0627-00
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/29/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0627-20
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/29/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0627-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/29/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0627-60
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/29/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58016-0627-90
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/29/2002 |
| Relationship End Date |
1/31/2014 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58864-0191-25
ACYCLOVIR (REDI-SCRIPT) 800 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2004 |
| Relationship End Date |
09/06/2019 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58864-0191-35
ACYCLOVIR (REDI-SCRIPT) 800 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2004 |
| Relationship End Date |
09/06/2019 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58864-0602-01
ACYCLOVIR (REDI-SCRIPT) 400 MG
|
| Detail Information |
| Relationship Start Date |
6/1/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58864-0602-30
ACYCLOVIR (REDI-SCRIPT) 400 MG
|
| Detail Information |
| Relationship Start Date |
3/2/2004 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
58864-0876-35
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2005 |
| Relationship End Date |
09/11/2019 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
59651-0493-47
ACYCLOVIR (USP,BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
01/29/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60429-0711-50
ACYCLOVIR (UNIT OF USE) 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2011 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60429-0713-50
ACYCLOVIR (UNIT OF USE) 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2011 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60429-0846-60
VALGANCICLOVIR HYDROCHLORIDE 450 MG
|
| Detail Information |
| Relationship Start Date |
11/12/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-0042-06
ACYCLOVIR (USP) 200 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-5306-01
ACYCLOVIR (USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-5306-08
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
05/21/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-5307-01
ACYCLOVIR (USP) 800 MG
|
| Detail Information |
| Relationship Start Date |
03/01/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60505-5307-05
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
05/21/2007 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60763-2041-00
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
60763-2041-04
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
400 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
61269-0480-60
VALCYTE 450 MG
|
| Detail Information |
| Relationship Start Date |
08/09/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
61442-0114-01
ACYCLOVIR (USP) 200 MG
|
| Detail Information |
| Relationship Start Date |
08/17/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
61442-0114-05
ACYCLOVIR (USP) 200 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62033-0204-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62033-0204-14
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
400 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0019-50
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
08/16/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0039-50
ACYCLOVIR (HARD-GELATIN) 200 MG
|
| Detail Information |
| Relationship Start Date |
08/16/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0611-90
CALCITRIOL (SOFTGEL) 0.5 MCG
|
| Detail Information |
| Relationship Start Date |
06/13/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
90 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0803-23
ACYCLOVIR 20X20ML;USP,BANANA 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
03/26/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0803-24
ACYCLOVIR 20X5ML;USP,BANANA 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
03/26/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62135-0803-47
ACYCLOVIR (USP,BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
12/29/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62682-1021-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
4/30/2002 |
| Relationship End Date |
1/1/2006 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
62756-0968-88
CALCITRIOL 0.5 MCG
|
| Detail Information |
| Relationship Start Date |
09/29/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0504-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0505-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0652-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63304-0652-05
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
09/19/2019 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1676-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| Relationship End Date |
01/14/2020 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1676-02
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| Relationship End Date |
01/14/2020 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1676-03
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| Relationship End Date |
01/14/2020 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1677-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/1/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1677-02
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/1/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1677-03
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
11/1/2004 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1678-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1678-02
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63629-1678-03
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
11/01/2004 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0314-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
2/27/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0314-15
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
10/3/2008 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0315-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
2/27/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0315-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
10/3/2008 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0316-10
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
2/27/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63739-0316-15
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
6/9/2004 |
| Relationship End Date |
10/3/2008 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-01
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-14
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-15
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-20
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-24
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
24 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-35
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-40
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-50
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0404-60
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0405-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0405-10
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0405-20
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0405-25
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0405-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0405-35
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/23/2002 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-20
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-21
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-40
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
63874-0500-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/15/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
64380-0153-01
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
09/07/2022 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
64380-0161-01
VALGANCICLOVIR HYDROCHLORIDE FILM-COATED 450 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
65162-0088-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
9/1/2004 |
| Relationship End Date |
6/23/2005 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66116-0245-50
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/8/2002 |
| Relationship End Date |
8/1/2003 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66116-0246-50
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
1/8/2002 |
| Relationship End Date |
8/1/2003 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66116-0271-35
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
3/18/2002 |
| Relationship End Date |
8/1/2003 |
| Number Of Items In Ndc Package |
35 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0006-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0006-40
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
08/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0006-50
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0007-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0007-21
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0007-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0007-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
04/08/2002 |
| Relationship End Date |
12/31/2020 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66267-0399-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
03/15/2005 |
| 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 |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0642-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
10/22/2004 |
| Relationship End Date |
12/17/2007 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0642-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
6/22/2005 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0642-40
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
10/22/2004 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0642-50
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/7/2008 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0735-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/10/2006 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0735-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/22/2004 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0735-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/22/2004 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0735-40
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/22/2004 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66336-0862-50
DISPENSEQUICK ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
5/1/2006 |
| Relationship End Date |
6/1/2014 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
66689-0342-16
ACYCLOVIR (1X473ML;USP,BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
09/24/2021 |
| Relationship End Date |
11/10/2023 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
67253-0100-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
67253-0100-11
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
7/15/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
67253-0101-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
67253-0101-11
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
7/15/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1000 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
67253-0102-10
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
3/3/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
67253-0102-50
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
3/3/2015 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0005-10
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/20/2005 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0005-25
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
4/19/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0005-30
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
5/1/2005 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0005-40
ACYCLOVIR 200 MG
|
| Detail Information |
| Relationship Start Date |
1/20/2005 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0006-10
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/20/2005 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0006-15
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/17/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
15 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0006-21
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/20/2005 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
21 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0006-25
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
1/5/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
25 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0006-30
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
3/17/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0006-60
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
4/19/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0007-30
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
3/29/2004 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68115-0007-40
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
5/1/2005 |
| Relationship End Date |
4/1/2009 |
| Number Of Items In Ndc Package |
40 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68999-0803-23
Acyclovir BANANA 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
02/04/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
68999-0803-24
Acyclovir BANANA 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
02/04/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69097-0277-03
VALGANCICLOVIR HYDROCHLORIDE (FILM-COATED) 450 MG
|
| Detail Information |
| Relationship Start Date |
12/12/2018 |
| Relationship End Date |
09/01/2023 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69117-0018-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
08/02/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69117-0018-02
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
08/02/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69117-0019-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
08/02/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69117-0019-02
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
08/02/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69367-0137-01
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69367-0137-05
ACYCLOVIR 400 MG
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69367-0138-01
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69367-0138-05
ACYCLOVIR 800 MG
|
| Detail Information |
| Relationship Start Date |
06/28/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69452-0208-20
CALCITRIOL 0.5 MCG
|
| Detail Information |
| Relationship Start Date |
06/21/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69452-0290-20
ACYCLOVIR (USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
10/12/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69452-0290-30
ACYCLOVIR (USP) 400 MG
|
| Detail Information |
| Relationship Start Date |
10/12/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69452-0291-20
ACYCLOVIR (USP) 800 MG
|
| Detail Information |
| Relationship Start Date |
10/12/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
69452-0291-30
ACYCLOVIR (USP) 800 MG
|
| Detail Information |
| Relationship Start Date |
10/12/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
70954-0188-10
ACYCLOVIR (1X473ML;USP,BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
07/15/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
72205-0170-72
ACYCLOVIR (USP,BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
10/19/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
72578-0002-01
ACYCLOVIR (USP,HARD-GELATIN) 200 MG
|
| Detail Information |
| Relationship Start Date |
01/27/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
72578-0002-05
ACYCLOVIR (USP,HARD-GELATIN) 200 MG
|
| Detail Information |
| Relationship Start Date |
01/27/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
500 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
72603-0750-01
valGANciclovir hydrochloride FILM-COATED 450 MG
|
| Detail Information |
| Relationship Start Date |
02/16/2026 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
72888-0079-17
ACYCLOVIR (USP,BANANA) 200 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
05/25/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
473 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
76204-0025-96
CROMOLYN SODIUM (PF,CONCENTRATE) 100 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
12/17/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|
J8499
PRESCRIPTION DRUG, ORAL, NON CHEMOTHERAPEUTIC, NOS
|
⇄
|
81665-0104-96
CROMOLYN SODIUM CONCENTRATE 100 MG/5 ML
|
| Detail Information |
| Relationship Start Date |
10/08/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
PC |
| Route Of Administration |
PO |
| Billing Units |
ML |
|
|
|