| Source HCPCS Code |
|
Target NDC Code |
J2778
INJECTION, RANIBIZUMAB, 0.1 MG
|
⇄
|
50242-0080-01
LUCENTIS (INTRAVITREAL INJECTION) 0.5 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2008 |
| Relationship End Date |
04/30/2018 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J2778
INJECTION, RANIBIZUMAB, 0.1 MG
|
⇄
|
50242-0080-02
LUCENTIS (INTRAVITREAL INJECTION) 0.5 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
04/30/2018 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J2778
INJECTION, RANIBIZUMAB, 0.1 MG
|
⇄
|
50242-0080-03
LUCENTIS (INTRAVITREAL INJECTION) 0.5 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
01/30/2017 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J2778
|
⇄
|
50242-0082-01
|
| 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 |
|
|
|
|
J2778
INJECTION, RANIBIZUMAB, 0.1 MG
|
⇄
|
50242-0082-02
LUCENTIS (INTRAVITREAL INJECTION) 0.3 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
05/15/2017 |
| Relationship End Date |
09/30/2022 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J2778
INJECTION, RANIBIZUMAB, 0.1 MG
|
⇄
|
50242-0082-03
LUCENTIS (INTRAVITREAL,PF) 0.3 MG/0.05 ML
|
| Detail Information |
| Relationship Start Date |
04/23/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.05 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IO |
| Billing Units |
ML |
|
|
|
J2778
Ranibizumab injection
|
⇄
|
50242-0080-03
Lucentis
|
| 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 |
|
|
|
|
J2778
Ranibizumab injection
|
⇄
|
50242-0082-03
Lucentis PFS
|
| 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 |
|
|
|
|