| Source NDC Code |
|
Target HCPCS Code |
60793-0701-10
BICILLIN L-A 1,200,000 UNITS
|
⇄
|
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 |
|
|
|
60793-0701-10
BICILLIN L-A 600000 U/ML
|
⇄
|
J0560
INJECTION, PENICILLIN G BENZATHINE, UP TO 600,000 UNITS
|
| Detail Information |
| Relationship Start Date |
11/21/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
60793-0701-10
BICILLIN L-A 1,200,000 UNITS
|
⇄
|
J0561
Injection, penicillin g benzathine, 100,000 units
|
| Detail Information |
| Relationship Start Date |
04/15/2018 |
| 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 |
|
|
|
60793-0701-10
|
⇄
|
J0570
|
| 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 |
|
|
|
|
60793-0701-10
|
⇄
|
J0580
|
| 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 |
|
|
|
|
60793-0701-10
Bicillin L-A
|
⇄
|
J0561
Penicillin g benzathine 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 |
|
|
|
|