| Source HCPCS Code |
|
Target NDC Code |
J0588
INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT
|
⇄
|
00259-1605-01
XEOMIN (SINGLE-USE,LATEX-FREE) 50 U
|
| Detail Information |
| Relationship Start Date |
07/30/2010 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0588
INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT
|
⇄
|
00259-1610-01
XEOMIN (SINGLE-USE,LATEX-FREE) 100 U
|
| Detail Information |
| Relationship Start Date |
07/30/2010 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J0588
INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT
|
⇄
|
00259-1620-01
XEOMIN (SINGLE-USE,PF) 200 U
|
| Detail Information |
| Relationship Start Date |
01/25/2016 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J0588
Injection, incobotulinumtoxin a, 1 unit
|
⇄
|
46783-0160-01
XEOMIN
|
| Detail Information |
| Relationship Start Date |
01/03/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J0588
Injection, incobotulinumtoxin a, 1 unit
|
⇄
|
46783-0161-01
XEOMIN
|
| Detail Information |
| Relationship Start Date |
01/01/2012 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
J0588
Incobotulinumtoxin a
|
⇄
|
46783-0160-01
XEOMIN
|
| 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 |
|
|
|
|
J0588
Incobotulinumtoxin a
|
⇄
|
46783-0161-01
XEOMIN
|
| 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 |
|
|
|
|
J0588
Incobotulinumtoxin a
|
⇄
|
00259-1605-01
XEOMIN
|
| 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 |
|
|
|
|
J0588
Incobotulinumtoxin a
|
⇄
|
00259-1610-01
XEOMIN
|
| 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 |
|
|
|
|
J0588
Incobotulinumtoxin a
|
⇄
|
00259-1620-01
XEOMIN
|
| 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 |
|
|
|
|