| Source HCPCS Code |
|
Target NDC Code |
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00015-3010-20
BLENOXANE (VIAL) 15 U
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
10/31/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00015-3010-26
BLENOXANE NOVAPLUS (VIAL) 15 U
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/14/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00015-3063-01
BLENOXANE (VIAL) 30 U
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/3/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00015-3063-26
BLENOXANE NOVAPLUS (VIAL) 30 U
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/14/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00143-9240-01
BLEOMYCIN (USP,LYOPHILIZED) 15 U
|
| Detail Information |
| Relationship Start Date |
05/16/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00143-9241-01
BLEOMYCIN (USP,LYOPHILIZED) 30 U
|
| Detail Information |
| Relationship Start Date |
05/16/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00409-0323-20
BLEOMYCIN SULFATE NOVAPLUS (S.D.V.) 30 U
|
| Detail Information |
| Relationship Start Date |
04/02/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00409-0332-20
BLEOMYCIN SULFATE NOVAPLUS (S.D.V.) 15 U
|
| Detail Information |
| Relationship Start Date |
04/02/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00703-3154-01
BLEOMYCIN SULFATE (S.D.V.) 15 U
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
07/10/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00703-3154-91
BLEOMYCIN SULFATE NOVAPLUS (S.D.V.) 15 U
|
| Detail Information |
| Relationship Start Date |
2/20/2002 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00703-3155-01
BLEOMYCIN SULFATE (S.D.V.) 30 U
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
07/10/2023 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
00703-3155-91
BLEOMYCIN SULFATE NOVAPLUS (S.D.V.) 30 U
|
| Detail Information |
| Relationship Start Date |
2/20/2002 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
16714-0886-01
BLEOMYCIN (SDV,PF,LATEX-FREE) 15 U
|
| Detail Information |
| Relationship Start Date |
04/20/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
16714-0908-01
BLEOMYCIN (SDV,PF,LATEX-FREE) 30 U
|
| Detail Information |
| Relationship Start Date |
04/20/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
55390-0005-01
BLEOMYCIN SULFATE (S.D.V.,USP) 15 U
|
| Detail Information |
| Relationship Start Date |
3/10/2003 |
| Relationship End Date |
5/2/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
55390-0006-01
BLEOMYCIN SULFATE (S.D.V.,USP) 30 U
|
| Detail Information |
| Relationship Start Date |
3/10/2003 |
| Relationship End Date |
5/2/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
61703-0323-22
BLEOMYCIN SULFATE 30 U
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
61703-0332-18
BLEOMYCIN SULFATE 15 U
|
| Detail Information |
| Relationship Start Date |
01/01/2002 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9040
Injection, bleomycin sulfate, 15 units
|
⇄
|
63323-0136-10
BLEOMYCIN SULFATE 15 UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
02/16/2009 |
| 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 |
|
|
|
J9040
Injection, bleomycin sulfate, 15 units
|
⇄
|
63323-0137-20
BLEOMYCIN SULFATE 30 UNIT 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
71288-0106-10
BLEOMYCIN (SDV,PF,LATEX-FREE) 15 U
|
| Detail Information |
| Relationship Start Date |
10/01/2018 |
| 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 |
|
|
|
J9040
INJECTION, BLEOMYCIN SULFATE, 15 UNITS
|
⇄
|
71288-0107-20
BLEOMYCIN (SDV,PF,LATEX-FREE) 30 U
|
| Detail Information |
| Relationship Start Date |
10/01/2018 |
| 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 |
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
63323-0136-10
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
63323-0137-20
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
00143-9240-01
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
00143-9241-01
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
71288-0106-10
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
71288-0107-20
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
16714-0886-01
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
16714-0908-01
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
00409-0323-20
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
00409-0332-20
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
61703-0323-22
Bleomycin Sulfate
|
| 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 |
|
|
|
|
J9040
Bleomycin sulfate injection
|
⇄
|
61703-0332-18
Bleomycin Sulfate
|
| 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 |
|
|
|
|