| Source HCPCS Code |
|
Target NDC Code |
J9290
|
⇄
|
00015-3001-20
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
00015-3002-20
MUTAMYCIN (VIAL) 20 MG
|
| 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 |
IV |
| Billing Units |
EA |
|
|
|
J9290
|
⇄
|
00015-3059-20
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
38779-0553-07
MITOMYCIN (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/24/2002 |
| 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 |
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
38779-0553-09
MITOMYCIN (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
5/29/2002 |
| 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 |
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
49452-4785-01
MITOMYCIN (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
1/28/2002 |
| Relationship End Date |
11/15/2004 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
49452-4785-02
MITOMYCIN (U.S.P.)
|
| Detail Information |
| Relationship Start Date |
11/15/2004 |
| 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 |
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
51927-3642-00
MITOMYCIN (USP)
|
| Detail Information |
| Relationship Start Date |
8/19/2004 |
| 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 |
|
|
|
J9290
|
⇄
|
55390-0251-01
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
55390-0252-01
MITOMYCIN (S.D.V.,PF) 20 MG
|
| 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 |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9290
|
⇄
|
55390-0253-01
|
| 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 |
|
|
|
|
J9290
|
⇄
|
55390-0451-01
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
55390-0452-01
MITOMYCIN NOVAPLUS (S.D.V.,PF) 20 MG
|
| 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 |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9290
|
⇄
|
55390-0453-01
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
61703-0306-50
MITOMYCIN 20 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
5/24/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9290
|
⇄
|
62701-0010-01
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
62701-0011-01
MITOMYCIN (VIAL) 20 MG
|
| 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 |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9290
|
⇄
|
63323-0190-20
|
| 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 |
|
|
|
|
J9290
|
⇄
|
63323-0191-20
|
| 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 |
|
|
|
|
J9290
MITOMYCIN, 20 MG
|
⇄
|
63323-0191-40
MITOMYCIN (VIAL) 20 MG
|
| Detail Information |
| Relationship Start Date |
2/4/2002 |
| Relationship End Date |
4/2/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|