| Source HCPCS Code |
|
Target NDC Code |
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-7510-01
HUMALOG (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-7511-01
HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-7515-59
HUMALOG (CARTRIDGE) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-7516-59
HUMALOG (CARTRIDGE) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8211-01
ILETIN II REGULAR PORK (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8215-01
HUMULIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8311-01
ILETIN II NPH PORK (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8315-01
HUMULIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8411-01
ILETIN II LENTE PORK (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8415-01
HUMULIN L (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8501-01
HUMULIN R U-500 (VIAL, CONCENTRATED) 500 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8615-01
HUMULIN U (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8715-01
HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8725-59
HUMALOG PEN (PREFILLED DISPOSABLE) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8730-59
HUMULIN N PEN (PREFILLED DISPOSABLE) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8770-59
HUMULIN 70/30 PEN (PREFILLED DISPOSABLE) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-8794-59
HUMALOG MIX 75/25 PEN (PREFILLED DISPOSABLE) 75 U/ML-25 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00002-9515-01
HUMULIN 50/50 (VIAL) 50 U/ML-50 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00088-2220-33
LANTUS 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-0017-71
NOVOLIN 70/30 (SRN,PREFILLED) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-0044-71
NOVOLIN R (SRN,PREFILLED) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-0045-71
NOVOLIN N (SRN,PREFILLED) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-0070-11
VELOSULIN BR (VIAL, RECOMBINANT DNA) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1833-11
NOVOLIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1833-17
NOVOLIN R PENFILL (SRN) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1833-18
RELION/NOVOLIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1834-11
NOVOLIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1834-17
NOVOLIN N PENFILL (SRN) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1834-18
RELION/NOVOLIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1835-11
NOVOLIN L (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1837-11
NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1837-17
NOVOLIN 70/30 PENFILL (SRN) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
1.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-1837-18
RELION/NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-2313-21
NOVOLIN R INNOLET (SRN,PREFILLED) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
8/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-2314-21
NOVOLIN N INNOLET (SRN, PREFILLED) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
5/3/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-2317-21
NOVOLIN 70/30 INNOLET (SRN, PREFILLED) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
5/3/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-3303-12
NOVOLOG (PENFILL CARTRIDGE) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-3473-18
NOVOLIN R PENFILL (SRN) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-3474-18
NOVOLIN N PENFILL (SRN) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-3477-18
NOVOLIN 70/30 PENFILL (SRN) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-3682-13
NOVOLOG MIX 70/30 (PENFILL CARTRIDGE) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
9/11/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
CT |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-3696-19
NOVOLOG MIX 70/30 (FLEXPEN,SRN PREFILLED) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
9/11/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
00169-7501-11
NOVOLOG (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-2318-00
HUMULIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-2319-00
HUMULIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-2918-00
NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-2918-01
NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3467-00
HUMULIN 70/30 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3467-01
HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3833-00
NOVOLIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3833-01
NOVOLIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3834-00
NOVOLIN L (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3835-00
NOVOLIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-3835-01
NOVOLIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54569-5321-00
HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML
|
| Detail Information |
| Relationship Start Date |
2/6/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54868-1429-01
HUMULIN N 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54868-2746-00
HUMULIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54868-3474-00
NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54868-3619-00
HUMULIN R 100 U/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54868-4381-00
HUMALOG MIX 75/25 (VIAL) 75 U/ML-25 U/ML
|
| Detail Information |
| Relationship Start Date |
6/14/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
54868-4626-00
LANTUS (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
6/14/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
59060-1833-02
NOVOLIN R (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
10/14/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
59060-1834-02
NOVOLIN N (VIAL) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
10/14/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
59060-1837-02
NOVOLIN 70/30 (VIAL) 70 U/ML-30 U/ML
|
| Detail Information |
| Relationship Start Date |
10/14/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
10 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J1820
INJECTION, INSULIN, UP TO 100 UNITS
|
⇄
|
66143-7510-05
LISPRO-PFC (RDNA ORIGIN) 100 U/ML
|
| Detail Information |
| Relationship Start Date |
10/8/2002 |
| Relationship End Date |
12/31/2002 |
| Number Of Items In Ndc Package |
3.15 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
EA |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|