| Source HCPCS Code |
|
Target NDC Code |
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0008-60
INFUGEM (LATEX-FREE) 1300 MG/130 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
130 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0073-60
INFUGEM (LATEX-FREE) 1200 MG/120 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
120 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0102-60
INFUGEM (LATEX-FREE) 1400 MG/140 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
140 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0219-60
INFUGEM (LATEX-FREE) 1500 MG/150 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
150 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0321-60
INFUGEM (LATEX-FREE) 1600 MG/160 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
160 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0438-60
INFUGEM (LATEX-FREE) 1700 MG/170 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
170 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0533-60
INFUGEM (LATEX-FREE) 1800 MG/180 ML-0.9%
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
180 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0614-60
INFUGEM (LATEX-FREE) 1900 MG/190 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
190 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0746-60
INFUGEM (LATEX-FREE) 2000 MG/200 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J9199
INJECTION, GEMCITABINE HYDROCHLORIDE (INFUGEM), 200 MG
|
⇄
|
62756-0974-60
INFUGEM (LATEX-FREE) 2200 MG/220 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2020 |
| Relationship End Date |
06/30/2020 |
| Number Of Items In Ndc Package |
220 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
FC |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|