| Source HCPCS Code |
|
Target NDC Code |
J2425
INJECTION, PALIFERMIN, 50 MICROGRAMS
|
⇄
|
55513-0520-01
KEPIVANCE (PF) 6.25 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2425
INJECTION, PALIFERMIN, 50 MICROGRAMS
|
⇄
|
55513-0520-06
KEPIVANCE (PF) 6.25 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2006 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2425
Injection, palifermin, 50 micrograms
|
⇄
|
66658-0112-01
KEPIVANCE 6.25 MG VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IJ |
| Billing Units |
EA |
|
|
|
J2425
Injection, palifermin, 50 micrograms
|
⇄
|
66658-0112-03
KEPIVANCE 6.25 MG VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2425
Injection, palifermin, 50 micrograms
|
⇄
|
66658-0112-06
KEPIVANCE 6.25 MG VIAL
|
| Detail Information |
| Relationship Start Date |
12/15/2008 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J2425
Palifermin injection
|
⇄
|
66658-0112-03
Kepivance
|
| 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 |
|
|
|
|
J2425
Palifermin injection
|
⇄
|
66658-0112-06
Kepivance/Palifermin
|
| 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 |
|
|
|
|