| Source NDC Code |
|
Target HCPCS Code |
81298-8114-01
CYCLOPHOSPHAMIDE (SDV) 2 GM
|
⇄
|
J9070
CYCLOPHOSPHAMIDE, 100 MG
|
| Detail Information |
| Relationship Start Date |
12/08/2023 |
| Relationship End Date |
03/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
81298-8114-01
CYCLOPHOSPHAMIDE (SDV) 2 GM
|
⇄
|
J9075
INJECTION, CYCLOPHOSPHAMIDE, NOT OTHERWISE SPECIFIED, 5 MG
|
| Detail Information |
| Relationship Start Date |
04/01/2024 |
| Relationship End Date |
12/31/2024 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
81298-8114-01
Cyclophosphamide
|
⇄
|
J9075
Inj, cyclophosphamide, nos
|
| 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 |
|
|
|
|