| Source HCPCS Code |
|
Target NDC Code |
J9015
INJECTION, ALDESLEUKIN, PER SINGLE USE VIAL
|
⇄
|
00078-0495-61
PROLEUKIN (PF,LYOPHILOZED) 22 Million IU
|
| Detail Information |
| Relationship Start Date |
12/12/2007 |
| Relationship End Date |
11/16/2011 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9015
INJECTION, ALDESLEUKIN, PER SINGLE USE VIAL
|
⇄
|
53905-0991-01
PROLEUKIN (PF) 22 Million IU
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
12/11/2007 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9015
INJECTION, ALDESLEUKIN, PER SINGLE USE VIAL
|
⇄
|
54868-5596-00
PROLEUKIN 22 Million IU
|
| Detail Information |
| Relationship Start Date |
5/22/2006 |
| Relationship End Date |
2/3/2016 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|
J9015
Injection, aldesleukin, per single use vial
|
⇄
|
65483-0116-07
PROLEUKIN 22 MILLION UNIT VIAL
|
| Detail Information |
| Relationship Start Date |
02/01/1996 |
| Relationship End Date |
10/31/2020 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IV |
| Billing Units |
EA |
|
|
|