| Source HCPCS Code |
|
Target NDC Code |
J0470
INJECTION, DIMERCAPROL, PER 100 MG
|
⇄
|
11098-0526-03
BAL IN OIL (AMP) 10%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/13/2012 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AM |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0470
Injection, dimercaprol, per 100 mg
|
⇄
|
17478-0526-03
BAL IN OIL 100 MG/ML AMPULE
|
| Detail Information |
| Relationship Start Date |
06/15/2016 |
| Relationship End Date |
06/30/2023 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0470
Dimecaprol injection
|
⇄
|
17478-0526-03
Bal In Oil
|
| 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 |
|
|
|
|