| Source HCPCS Code |
|
Target NDC Code |
J3471
INJECTION, HYALURONIDASE, OVINE, PRESERVATIVE FREE, PER 1 USP UNIT (UP TO 999 USP UNITS)
|
⇄
|
24208-0002-02
VITRASE (OVINE, SDV,PF) 200 U/1 ML
|
| Detail Information |
| Relationship Start Date |
09/22/2015 |
| Relationship End Date |
08/16/2023 |
| Number Of Items In Ndc Package |
1.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J3471
|
⇄
|
67425-0002-10
|
| 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 |
|
|
|
|
J3471
|
⇄
|
67425-0020-10
|
| 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 |
|
|
|
|