| Source HCPCS Code |
|
Target NDC Code |
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
00115-1911-01
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
12/1/2004 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
00258-3711-01
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
12/1/2004 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
00781-5029-01
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
12/1/2004 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
100 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
55045-3339-04
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
3/21/2005 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
55289-0832-14
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
12/1/2004 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
55887-0644-14
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
12/1/2004 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
14 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|
G9020
RIMANTADINE HYDROCHLORIDE, ORAL, PER 100 MG (FOR USE IN A MEDICARE APPROVED DEMONSTRATION PROJECT)
|
⇄
|
55887-0644-28
RIMANTADINE HCL 100 MG
|
| Detail Information |
| Relationship Start Date |
12/1/2004 |
| Relationship End Date |
5/31/2005 |
| Number Of Items In Ndc Package |
28 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
PO |
| Billing Units |
EA |
|
|
|