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NDC 62756-0954-01 To HCPCS Mapping

NDC “62756-0954-01” To HCPCS Crosswalk(s)

NDC To HCPCS Mapping

Source NDC Code Target HCPCS Code
62756-0954-01
PREMIERPRO RX AMPHOTERICIN B LIPOSOME SDV,LYOPHILIZED 50 MG 		⇄ J0289
INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG
Detail Information
Relationship Start Date 01/13/2025
Relationship End Date 99/99/9999
Number Of Items In Ndc Package 1
Ndc Package Measure EA
Ndc Package Type VL
Route Of Administration IV
Billing Units EA