| Source NDC Code |
|
Target HCPCS Code |
60793-0601-10
BICILLIN C-R (2MLX10,21GX1",PEDIA)
|
⇄
|
J0540
INJECTION, PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE, UP TO 1,200,000 UNITS
|
| Detail Information |
| Relationship Start Date |
8/15/2007 |
| Relationship End Date |
12/31/2009 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
60793-0601-10
|
⇄
|
J0550
|
| 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 |
|
|
|
|
60793-0601-10
BICILLIN C-R 1.2 MILLION UNIT
|
⇄
|
J0558
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units
|
| Detail Information |
| Relationship Start Date |
03/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SYRINGE |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
60793-0601-10
|
⇄
|
J0559
|
| 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 |
|
|
|
|
60793-0601-10
Bicillin CR Pediatric
|
⇄
|
J0558
Peng benzathine/procaine 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 |
|
|
|
|