| Source HCPCS Code |
|
Target NDC Code |
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
00013-5636-70
NEOSAR (S.D.V.) 1 GM
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
4/13/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9096
|
⇄
|
00015-0502-41
|
| 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 |
|
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
00015-0505-41
CYTOXAN (VIAL) 1 GM
|
| Detail Information |
| Relationship Start Date |
5/15/2004 |
| Relationship End Date |
8/14/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9096
|
⇄
|
00015-0506-41
|
| 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 |
|
|
|
|
J9096
|
⇄
|
00015-0546-41
|
| 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 |
|
|
|
|
J9096
|
⇄
|
00015-0547-41
|
| 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 |
|
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
00015-0548-12
CYTOXAN LYOPHILIZED NOVAPLUS (S.D.V.) 1 GM
|
| 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 |
IV |
| Billing Units |
EA |
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
00015-0548-41
CYTOXAN LYOPHILIZED (VIAL) 1 GM
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/2/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9096
|
⇄
|
00015-0549-41
|
| 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 |
|
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
10019-0956-01
CYCLOPHOSPHAMIDE (S.D.V.,PF) 1 GM
|
| Detail Information |
| Relationship Start Date |
4/30/2004 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
38779-0506-03
CYCLOPHOSPHAMIDE (U.S.P.)
|
| 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 |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
38779-0506-04
CYCLOPHOSPHAMIDE (U.S.P.)
|
| 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 |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J9096
CYCLOPHOSPHAMIDE, LYOPHILIZED, 1.0 GRAM
|
⇄
|
38779-0506-05
CYCLOPHOSPHAMIDE (U.S.P.)
|
| 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 |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|