| Source HCPCS Code |
|
Target NDC Code |
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
50742-0519-02
CYCLOPHOSPHAMIDE (PF) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
03/30/2025 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
50742-0520-05
CYCLOPHOSPHAMIDE (PF) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
03/30/2025 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
50742-0521-10
CYCLOPHOSPHAMIDE (MDV) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
03/30/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
51407-0748-02
CYCLOPHOSPHAMIDE 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
05/18/2025 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
51407-0749-05
CYCLOPHOSPHAMIDE 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
05/18/2025 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
51407-0750-10
CYCLOPHOSPHAMIDE 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
05/18/2025 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
68001-0564-22
CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
68001-0565-28
CYCLOPHOSPHAMIDE (MDV,PF,LATEX-FREE) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
Injection, cyclophosphamide (ingenus), 5 mg
|
⇄
|
70860-0218-03
CYCLOPHOSPHAMIDE 500 MG/2.5 ML
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
Injection, cyclophosphamide (ingenus), 5 mg
|
⇄
|
70860-0218-05
CYCLOPHOSPHAMIDE 1 GM/5 ML VL
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
10/31/2024 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
Injection, cyclophosphamide (ingenus), 5 mg
|
⇄
|
70860-0218-10
CYCLOPHOSPHAMIDE 2 GM/10 ML VL
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
08/31/2024 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
75907-0189-35
CYCLOPHOSPHAMIDE (MDV) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
75907-0190-07
CYCLOPHOSPHAMIDE (MDV) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
INJECTION, CYCLOPHOSPHAMIDE (INGENUS), 5 MG
|
⇄
|
75907-0191-02
CYCLOPHOSPHAMIDE (MDV) 200 MG/1 ML
|
| Detail Information |
| Relationship Start Date |
07/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
70860-0218-10
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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
68001-0564-22
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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
68001-0565-28
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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
75907-0189-35
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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
75907-0190-07
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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
75907-0191-02
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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
50742-0519-02
Cyclophosphamide (Ingenus)
|
| 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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
50742-0520-05
Cyclophosphamide (Ingenus)
|
| 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 |
|
|
|
|
J9073
Inj cyclophos dr reddys 5 mg
|
⇄
|
50742-0521-10
Cyclophosphamide (Ingenus)
|
| 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 |
|
|
|
|