| Source HCPCS Code |
|
Target NDC Code |
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
00143-9292-01
THIOTEPA SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
00143-9309-01
THIOTEPA NOVAPLUS SDV,LYOPHILIZED 15 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
00143-9565-01
THIOTEPA LYOPHILIZED 15 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
Injection, thiotepa, not otherwise specified, 1 mg
|
⇄
|
25021-0246-02
THIOTEPA 15 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
Injection, thiotepa, not otherwise specified, 1 mg
|
⇄
|
43598-0171-11
THIOTEPA 100 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
43598-0650-11
THIOTEPA SDV,LYOPHILIZED 15 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
65219-0029-20
THIOTEPA SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
70121-1630-01
TEPADINA 15 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
70121-1631-01
TEPADINA 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
Injection, thiotepa, not otherwise specified, 1 mg
|
⇄
|
70121-2749-01
TEPADINA 200 MG BAG
|
| Detail Information |
| Relationship Start Date |
08/27/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
200 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
BAG |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
71288-0156-05
THIOTEPA SDV,LYOPHILIZED 15 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
71288-0157-10
THIOTEPA SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
72205-0045-01
THIOTEPA SDV,LYOPHILIZED 15 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
INJECTION, THIOTEPA, NOT OTHERWISE SPECIFIED, 1 MG
|
⇄
|
72205-0046-01
THIOTEPA SDV,LYOPHILIZED 100 MG
|
| Detail Information |
| Relationship Start Date |
07/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
70121-1630-01
Tepadina
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
70121-1631-01
Tepadina
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
70121-2749-01
Tepadina
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
43598-0171-11
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
43598-0650-11
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
65219-0029-20
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
00143-9292-01
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
00143-9309-01
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
00143-9565-01
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
71288-0156-05
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
71288-0157-10
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
72205-0045-01
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
72205-0046-01
Thiotepa
|
| 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 |
|
|
|
|
J9342
Inj thiotepa nos 1 mg
|
⇄
|
25021-0246-02
Thiotepa
|
| 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 |
|
|
|
|