| Source NDC Code |
|
Target HCPCS Code |
55150-0270-01
CYCLOPHOSPHAMIDE (SDV,PF,LATEX-FREE) 200 MG/1 ML
|
⇄
|
J9070
CYCLOPHOSPHAMIDE, 100 MG
|
| Detail Information |
| Relationship Start Date |
08/31/2021 |
| Relationship End Date |
03/31/2022 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
55150-0270-01
CYCLOPHOSPHAMIDE (SDV,PF,LATEX-FREE) 200 MG/1 ML
|
⇄
|
J9071
INJECTION, CYCLOPHOSPHAMIDE (AUROMEDICS), 5 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2022 |
| Relationship End Date |
08/22/2024 |
| Number Of Items In Ndc Package |
2.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
55150-0270-01
Cyclophosphamide
|
⇄
|
J9071
Inj cyclophosphamd auromedic
|
| 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 |
|
|
|
|