| Source HCPCS Code |
|
Target NDC Code |
J0587
INJECTION, RIMABOTULINUMTOXINB, 100 UNITS
|
⇄
|
10454-0710-10
MYOBLOC (PF) 2500 U/0.5 ML
|
| Detail Information |
| Relationship Start Date |
08/01/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0587
INJECTION, RIMABOTULINUMTOXINB, 100 UNITS
|
⇄
|
10454-0711-10
MYOBLOC (PF) 5000 U/ML
|
| Detail Information |
| Relationship Start Date |
08/01/2005 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0587
INJECTION, RIMABOTULINUMTOXINB, 100 UNITS
|
⇄
|
10454-0712-10
MYOBLOC 5000 U/ML
|
| Detail Information |
| Relationship Start Date |
06/30/2006 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0587
BOTULINUM TOXIN TYPE B, PER 100 UNITS
|
⇄
|
59075-0710-10
MYOBLOC (PF) 2500 U/0.5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/27/2005 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0587
BOTULINUM TOXIN TYPE B, PER 100 UNITS
|
⇄
|
59075-0711-10
MYOBLOC (PF) 5000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/27/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0587
BOTULINUM TOXIN TYPE B, PER 100 UNITS
|
⇄
|
59075-0712-10
MYOBLOC (PF) 5000 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
6/29/2006 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J0587
Inj, rimabotulinumtoxinb
|
⇄
|
10454-0710-10
Myobloc
|
| 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 |
|
|
|
|
J0587
Inj, rimabotulinumtoxinb
|
⇄
|
10454-0711-10
Myobloc
|
| 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 |
|
|
|
|
J0587
Inj, rimabotulinumtoxinb
|
⇄
|
10454-0712-10
Myobloc
|
| 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 |
|
|
|
|