| Source HCPCS Code |
|
Target NDC Code |
J9072
INJECTION, CYCLOPHOSPHAMIDE (AVYXA), 5 MG
|
⇄
|
83831-0116-01
CYCLOPHOSPHAMIDE SDV 500 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9072
INJECTION, CYCLOPHOSPHAMIDE (AVYXA), 5 MG
|
⇄
|
83831-0117-02
CYCLOPHOSPHAMIDE SDV 500 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9072
INJECTION, CYCLOPHOSPHAMIDE (AVYXA), 5 MG
|
⇄
|
83831-0118-04
CYCLOPHOSPHAMIDE SDV 500 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
08/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9072
INJECTION, CYCLOPHOSPHAMIDE (AVYXA), 5 MG
|
⇄
|
83831-0119-01
FRINDOVYX 500MG/1ML MDV 500 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9072
INJECTION, CYCLOPHOSPHAMIDE (AVYXA), 5 MG
|
⇄
|
83831-0120-02
FRINDOVYX 1GM/2ML MDV;1GM/2ML 500 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9072
INJECTION, CYCLOPHOSPHAMIDE (AVYXA), 5 MG
|
⇄
|
83831-0121-04
FRINDOVYX 2GM/4ML MDV;2GM/4ML 500 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
02/03/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9072
Inj cyclophos frindovyx 5 mg
|
⇄
|
83831-0116-01
Cyclophosphamide
|
| 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 |
|
|
|
|
J9072
Inj cyclophos frindovyx 5 mg
|
⇄
|
83831-0117-02
Cyclophosphamide
|
| 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 |
|
|
|
|
J9072
Inj cyclophos frindovyx 5 mg
|
⇄
|
83831-0118-04
Cyclophosphamide
|
| 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 |
|
|
|
|
J9072
Inj cyclophos frindovyx 5 mg
|
⇄
|
83831-0119-01
Frindovyx
|
| 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 |
|
|
|
|
J9072
Inj cyclophos frindovyx 5 mg
|
⇄
|
83831-0120-02
Frindovyx
|
| 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 |
|
|
|
|
J9072
Inj cyclophos frindovyx 5 mg
|
⇄
|
83831-0121-04
Frindovyx
|
| 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 |
|
|
|
|