| Source HCPCS Code |
|
Target NDC Code |
Q2009
|
⇄
|
00069-6001-21
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00069-6001-25
|
| 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 |
|
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
00071-4007-05
CEREBYX (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
00071-4008-10
CEREBYX (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
|
⇄
|
00143-9782-10
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00143-9788-25
|
| 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 |
|
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
00409-4857-02
FOSPHENYTOIN SODIUM (USP2MLX25) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/5/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
00409-4857-10
FOSPHENYTOIN SODIUM (USP,10MLX10) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/5/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
|
⇄
|
00409-4857-49
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00409-4857-50
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00517-6902-25
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00641-6136-25
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00641-6137-10
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00703-7101-04
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
00703-7105-03
|
| 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 |
|
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
10019-0263-01
FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,25X2) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/6/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
10019-0263-03
FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,10X10) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/6/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
|
⇄
|
10019-0263-17
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
10019-0263-71
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
10139-0025-11
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
10139-0025-12
|
| 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 |
|
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG
|
⇄
|
10139-0025-21
FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,2X10) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/8/2007 |
| Relationship End Date |
5/31/2009 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG
|
⇄
|
10139-0025-22
FOSPHENYTOIN SODIUM (USP,SINGLE DOSE,10X10) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/8/2007 |
| Relationship End Date |
6/30/2009 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
55390-0175-10
FOSPHENYTOIN SODIUM (SDV,USP,10X2ML) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/6/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
55390-0176-10
FOSPHENYTOIN SODIUM (SDV,USP,10X10ML) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/6/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
|
⇄
|
60505-0746-05
|
| 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 |
|
|
|
|
Q2009
|
⇄
|
60505-0765-04
|
| 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 |
|
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
63323-0403-02
FOSPHENYTOIN SODIUM (USP,25X2ML) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/16/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
63323-0403-10
FOSPHENYTOIN SODIUM (USP,10X10ML) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
8/16/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
64679-0729-01
FOSPHENYTOIN SODIUM (SDV,USP,25X2ML) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
7/25/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
INJECTION, FOSPHENYTOIN, 50 MG PHENYTOIN EQUIVALENT
|
⇄
|
64679-0730-01
FOSPHENYTOIN SODIUM (SDV,USP,10X10ML) 75 MG/ML
|
| Detail Information |
| Relationship Start Date |
7/25/2007 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
63323-0403-02
Fosphenytoin Sodium
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
63323-0403-10
Fosphenytoin Sodium
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
68462-0621-54
Fosphenytoin Sodium
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
68462-0622-64
Fosphenytoin Sodium
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
00641-6136-25
Fosphenytoin Sodium
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
00069-5471-02
Cerebyx
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
00069-5474-02
Cerebyx
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
00069-6001-21
Cerebyx
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
00069-6001-25
Cerebyx
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
25021-0798-02
Fosphenytoin Sodium
|
| 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 |
|
|
|
|
Q2009
Fosphenytoin inj pe
|
⇄
|
25021-0798-10
Fosphenytoin Sodium
|
| 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 |
|
|
|
|