| Source HCPCS Code |
|
Target NDC Code |
J1096
Dexamethasone insert, 0.1 mg
|
⇄
|
70382-0204-01
DEXTENZA 0.4 MG INSERT
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
OP |
| Billing Units |
EA |
|
|
|
J1096
Dexamethasone insert, 0.1 mg
|
⇄
|
70382-0204-10
DEXTENZA 0.4 MG INSERT
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
OP |
| Billing Units |
EA |
|
|
|
J1096
Dexamethasone insert, 0.1 mg
|
⇄
|
70382-0204-88
DEXTENZA 0.4 MG INSERT
|
| Detail Information |
| Relationship Start Date |
10/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PACKET |
| Route Of Administration |
OP |
| Billing Units |
EA |
|
|
|
J1096
Dexametha opth insert 0.1 mg
|
⇄
|
70382-0204-01
Dextenza
|
| 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 |
|
|
|
|
J1096
Dexametha opth insert 0.1 mg
|
⇄
|
70382-0204-10
Dextenza
|
| 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 |
|
|
|
|