| Source NDC Code |
|
Target HCPCS Code |
23155-0594-31
AMPHOTERICIN B LIPOSOME SDV,LYOPHILIZED 50 MG
|
⇄
|
J0289
INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG
|
| Detail Information |
| Relationship Start Date |
06/30/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
23155-0594-31
Amphotericin B Liposome
|
⇄
|
J0289
Amphotericin b liposome inj
|
| 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 |
|
|
|
|