| Source HCPCS Code |
|
Target NDC Code |
S0028
Injection, famotidine, 20 mg
|
⇄
|
00338-5197-41
Famotidine Premixed 20-0.9 MG/50ML-% SOLN
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
50 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BAG |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
00641-6021-01
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
02/16/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
00641-6021-10
FAMOTIDINE 200 MG/20 ML VIAL
|
| Detail Information |
| Relationship Start Date |
02/16/2016 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
00641-6022-01
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
00641-6022-25
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
00641-6023-01
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
00641-6023-25
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0738-03
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0738-06
FAMOTIDINE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0738-09
FAMOTIDINE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0738-20
FAMOTIDINE 10 MG/ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0739-11
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0739-12
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0739-16
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2011 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
63323-0739-41
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
01/01/2022 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
67457-0433-00
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
11/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
67457-0433-22
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2018 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
67457-0448-00
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/24/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
67457-0448-43
FAMOTIDINE 40 MG/4 ML VIAL
|
| Detail Information |
| Relationship Start Date |
09/24/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
4 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
67457-0457-00
FAMOTIDINE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
08/19/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
67457-0457-20
FAMOTIDINE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
08/19/2015 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
70860-0751-02
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/22/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
70860-0751-41
FAMOTIDINE 20 MG/2 ML VIAL
|
| Detail Information |
| Relationship Start Date |
12/22/2020 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
70860-0753-20
FAMOTIDINE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
10/27/2014 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
S0028
Injection, famotidine, 20 mg
|
⇄
|
70860-0753-41
FAMOTIDINE 200 MG/20 ML VIA
|
| Detail Information |
| Relationship Start Date |
03/04/2021 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|