| Source HCPCS Code |
|
Target NDC Code |
J9030
Bcg live intravesical 1mg
|
⇄
|
00052-0602-01
BCG (TICE STRAIN) VIAL
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
UN |
| Ndc Package Type |
VIAL |
| Route Of Administration |
IS |
| Billing Units |
EA |
|
|
|
J9030
BCG LIVE INTRAVESICAL INSTILLATION, 1MG
|
⇄
|
00052-0602-02
TICE BCG (VIAL) 800 Million CFU
|
| Detail Information |
| Relationship Start Date |
07/01/2019 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IL |
| Billing Units |
EA |
|
|
|
J9030
Bcg live intravesical 1mg
|
⇄
|
00052-0602-02
Tice Bcg
|
| 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 |
|
|
|
|