| Source HCPCS Code |
|
Target NDC Code |
J7308
AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG)
|
⇄
|
50419-0810-01
LEVULAN KERASTICK 20%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
SK |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7308
AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20%, SINGLE UNIT DOSAGE FORM (354 MG)
|
⇄
|
50419-0810-06
LEVULAN KERASTICK 20%
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
9/1/2002 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
SK |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7308
AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20 percent, SINGLE UNIT DOSAGE FORM (354 MG)
|
⇄
|
67308-0101-01
LEVULAN KERASTICK 20%
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PF APPLI |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7308
AMINOLEVULINIC ACID HCL FOR TOPICAL ADMINISTRATION, 20 percent, SINGLE UNIT DOSAGE FORM (354 MG)
|
⇄
|
67308-0101-06
LEVULAN KERASTICK 20%
|
| Detail Information |
| Relationship Start Date |
01/01/2025 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
6 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
PF APPLI |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7308
Aminolevulinic acid hcl top
|
⇄
|
67308-0101-06
Levulan Kerastick
|
| 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 |
|
|
|
|