Amphotericin B
NDC 62756-233 · Sun Pharmaceutical Industries, Inc.
Generic nameAmphotericin B
Dosage formINJECTABLE, LIPOSOMAL
RouteINTRAVENOUS
Active ingredient(s)AMPHOTERICIN B
Strength50 mg/1
Pharmacologic classLipid-based Polyene Antifungal [EPC], Polyene Antifungal [EPC], Polyenes [CS]
Marketing categoryANDA
Packages
62756-233-01 — 1 VIAL, SINGLE-DOSE in 1 CARTON (62756-233-01) / 1 INJECTABLE, LIPOSOMAL in 1 VIAL, SINGLE-DOSE
62756-233-02 — 10 CARTON in 1 CARTON (62756-233-02) / 1 VIAL, SINGLE-DOSE in 1 CARTON / 1 INJECTABLE, LIPOSOMAL in 1 VIAL, SINGLE-DOSE
Billed under HCPCS
J0289 — Injection, amphotericin b liposome, 10 mg Medicare Part B payment limit (ASP + 6%): $19.84
Related Codes
Same active ingredient
FDA lists these products with the same active ingredient.
23155-594 — Amphotericin B, 39822-1055 — Amphotericin B, 55150-365 — Amphotericin B, 62756-954 — Amphotericin B, 67457-926 — Amphotericin B liposome