| Source HCPCS Code |
|
Target NDC Code |
J1324
INJECTION, ENFUVIRTIDE, 1 MG
|
⇄
|
00004-0380-39
FUZEON (PF) 90 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2007 |
| Relationship End Date |
6/30/2013 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
PG |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J1324
Injection, enfuvirtide, 1 mg
|
⇄
|
00004-0381-40
FUZEON 90 MG VIAL
|
| Detail Information |
| Relationship Start Date |
07/15/2017 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
KIT |
| Route Of Administration |
SQ |
| Billing Units |
EA |
|
|
|
J1324
INJECTION, ENFUVIRTIDE, 1 MG
|
⇄
|
35356-0206-60
FUZEON 90 MG
|
| Detail Information |
| Relationship Start Date |
5/30/2008 |
| Relationship End Date |
1/11/2012 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
PG |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|
J1324
INJECTION, ENFUVIRTIDE, 1 MG
|
⇄
|
54569-5781-00
FUZEON 90 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2007 |
| Relationship End Date |
10/17/2016 |
| Number Of Items In Ndc Package |
60 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
PG |
| Route Of Administration |
SC |
| Billing Units |
EA |
|
|
|