| Source HCPCS Code |
|
Target NDC Code |
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
00143-9606-01
AZACITIDINE 100 MG
|
| Detail Information |
| Relationship Start Date |
09/08/2020 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
00591-2897-49
AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
09/16/2016 |
| Relationship End Date |
10/21/2019 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Injection, azacitidine, 1 mg
|
⇄
|
00781-3253-94
AZACITIDINE 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
02/08/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
00781-3491-94
AZACITIDINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
08/21/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Injection, azacitidine, 1 mg
|
⇄
|
00781-9253-94
AZACITIDINE 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
09/30/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
13925-0523-01
AZACITIDINE (PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
7/7/2017 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
16714-0777-01
AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
07/03/2018 |
| Relationship End Date |
06/10/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
16714-0927-01
AZACITIDINE 100 MG
|
| Detail Information |
| Relationship Start Date |
10/13/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
16729-0306-10
AZACITIDINE (PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
43598-0143-62
AZACITIDINE (SDV,PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
06/15/2022 |
| Relationship End Date |
06/30/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Injection, azacitidine, 1 mg
|
⇄
|
43598-0305-62
AZACITIDINE 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Injection, azacitidine, 1 mg
|
⇄
|
43598-0465-62
AZACITIDINE 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/02/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
43598-0678-11
AZACITIDINE 100 MG
|
| Detail Information |
| Relationship Start Date |
12/21/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
51991-0797-98
AZACITIDINE (PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
09/25/2017 |
| Relationship End Date |
01/31/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
55150-0393-01
AZACITIDINE (SDV,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/13/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Injection, azacitidine, 1 mg
|
⇄
|
59572-0102-01
VIDAZA 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
60505-6271-01
AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
12/12/2023 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
63323-0771-39
AZACITIDINE (SDV) 100 MG
|
| Detail Information |
| Relationship Start Date |
04/13/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
64679-0096-01
AZACITIDINE (SDV) 100 MG
|
| Detail Information |
| Relationship Start Date |
12/23/2016 |
| Relationship End Date |
07/01/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
67211-0102-01
VIDAZA 100 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
4/30/2009 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
68001-0313-56
AZACITIDINE (PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
08/16/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
68001-0504-54
AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
08/02/2021 |
| Relationship End Date |
09/21/2022 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
68001-0527-54
AZACITIDINE (SDV,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
06/27/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
68001-0620-54
AZACITIDINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
10/03/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
69097-0805-40
AZACITIDINE (SDV) 100 MG
|
| Detail Information |
| Relationship Start Date |
04/10/2019 |
| Relationship End Date |
02/15/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
70069-0857-01
AZACITIDINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
10/23/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
70121-1237-01
AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
01/18/2023 |
| Relationship End Date |
07/11/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
71288-0115-30
AZACITIDINE (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
06/21/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
71288-0153-95
AZACITIDINE NOVAPLUS (SDV,PF,LATEX-FREE) 100 MG
|
| Detail Information |
| Relationship Start Date |
06/21/2021 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
72485-0201-01
AZACITIDINE (SDV) 100 MG
|
| Detail Information |
| Relationship Start Date |
10/25/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
72572-0020-01
AZACITIDINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
10/08/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
72606-0558-01
AZACITIDINE (SDV,PF,LYOPHILIZED) 100 MG
|
| Detail Information |
| Relationship Start Date |
02/03/2020 |
| Relationship End Date |
03/05/2021 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
INJECTION, AZACITIDINE, 1 MG
|
⇄
|
75907-0225-11
AZACITIDINE SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
03/19/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Injection, azacitidine, 1 mg
|
⇄
|
83774-0102-01
AZACITIDINE 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
11/12/2024 |
| Relationship End Date |
04/01/2026 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9025
Azacitidine injection
|
⇄
|
16729-0306-10
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
70121-1237-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
60505-6271-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
72485-0201-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
68001-0313-56
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
68001-0527-54
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
68001-0620-54
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
59572-0102-01
Vidaza
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
72572-0020-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
43598-0143-62
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
43598-0305-62
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
43598-0465-62
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
75907-0225-11
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
55150-0393-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
63323-0771-39
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
00143-9606-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
71288-0115-30
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
71288-0153-95
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
⇄
|
16714-0927-01
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J9025
Azacitidine injection
|
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00781-3253-94
Azacitidine
|
| Detail Information |
| Relationship Start Date |
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| Relationship End Date |
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| Number Of Items In Ndc Package |
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| Ndc Package Measure |
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| Ndc Package Type |
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| Route Of Administration |
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| Billing Units |
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J9025
Azacitidine injection
|
⇄
|
00781-3491-94
Azacitidine
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|