| Source HCPCS Code |
|
Target NDC Code |
J1612
INJECTION, GLUCAGON (GVOKE), 0.01 MG
|
⇄
|
00517-2901-01
GVOKE VIALDX SDV, FOR DIAGNOSTIC USE ONLY 1 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1612
INJECTION, GLUCAGON (GVOKE), 0.01 MG
|
⇄
|
00517-2901-10
GVOKE VIALDX SDV, FOR DIAGNOSTIC USE ONLY 1 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
ML |
|
|
|
J1612
INJECTION, GLUCAGON (GVOKE), 0.01 MG
|
⇄
|
72065-0140-11
GVOKE KIT 1 MG/0.2 ML
|
| Detail Information |
| Relationship Start Date |
10/01/2025 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1612
Inj glucagon (gvoke) 0.01 mg
|
⇄
|
00517-2901-01
Gvoke Vialdx
|
| 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 |
|
|
|
|
J1612
Inj glucagon (gvoke) 0.01 mg
|
⇄
|
00517-2901-10
Gvoke Vialdx
|
| 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 |
|
|
|
|