| Source HCPCS Code |
|
Target NDC Code |
J3425
INJECTION, HYDROXOCOBALAMIN, 10 MCG
|
⇄
|
00591-2888-30
HYDROXOCOBALAMIN (MDV) 1000 MCG/1 ML
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
30 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
IM |
| Billing Units |
ML |
|
|
|
J3425
INJECTION, HYDROXOCOBALAMIN, 10 MCG
|
⇄
|
50633-0310-11
CYANOKIT (LYOPHILIZED) 5 GM
|
| Detail Information |
| Relationship Start Date |
01/01/2024 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
|
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J3425
Inj, hydroxocobalamin
|
⇄
|
00591-2888-30
Hydroxocobalamin
|
| 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 |
|
|
|
|