| Source HCPCS Code |
|
Target NDC Code |
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
11098-0533-01
MYOCHRYSINE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/21/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
11098-0533-10
MYOCHRYSINE (VIAL) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/21/2002 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1600
|
⇄
|
17478-0533-01
|
| 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 |
|
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
51927-2895-00
GOLD SODIUM THIOMALATE
|
| Detail Information |
| Relationship Start Date |
09/08/2003 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BO |
| Route Of Administration |
NA |
| Billing Units |
GM |
|
|
|
J1600
|
⇄
|
54643-1005-00
|
| 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 |
|
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
54643-1006-00
GOLD SODIUM THIOMALATE (M.D.V.) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
54643-1007-00
GOLD SODIUM THIOMALATE (M.D.V.) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
66758-0011-01
GOLD SODIUM THIOMALATE (S.D.V.) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/11/2004 |
| Relationship End Date |
5/31/2006 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
66758-0011-02
GOLD SODIUM THIOMALATE (S.D.V.) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/11/2004 |
| Relationship End Date |
5/31/2006 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J1600
INJECTION, GOLD SODIUM THIOMALATE, UP TO 50 MG
|
⇄
|
66758-0011-03
GOLD SODIUM THIOMALATE (M.D.V.) 50 MG/ML
|
| Detail Information |
| Relationship Start Date |
6/11/2004 |
| Relationship End Date |
5/31/2006 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|