| Source HCPCS Code |
|
Target NDC Code |
J0800
INJECTION, CORTICOTROPIN, UP TO 40 UNITS
|
⇄
|
63004-7731-01
H.P. ACTHAR (M.D.V.) 80 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
1/6/2013 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J0800
Injection, corticotropin, up to 40 units
|
⇄
|
63004-8710-01
HP ACTHAR GEL 80 UNIT/ML VIAL
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
09/30/2023 |
| Number Of Items In Ndc Package |
5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|