| Source HCPCS Code |
|
Target NDC Code |
J3396
INJECTION, VERTEPORFIN, 0.1 MG
|
⇄
|
00078-0437-61
VISUDYNE 15 MG
|
| Detail Information |
| Relationship Start Date |
10/18/2005 |
| 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 |
|
|
|
J3396
Injection, verteporfin, 0.1 mg
|
⇄
|
00187-5600-15
VISUDYNE 15 MG VIAL
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
10/01/2025 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3396
|
⇄
|
50236-0001-15
|
| 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 |
|
|
|
|
J3396
INJECTION, VERTEPORFIN, 0.1 MG
|
⇄
|
58768-0150-15
VISUDYNE 15 MG
|
| Detail Information |
| Relationship Start Date |
1/1/2005 |
| Relationship End Date |
10/17/2005 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3396
Verteporfin injection
|
⇄
|
00187-5600-15
Visudyne
|
| 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 |
|
|
|
|