| Source HCPCS Code |
|
Target NDC Code |
J9216
INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS
|
⇄
|
64116-0011-01
ACTIMMUNE (VIAL) 2 Million IU/0.5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
3/13/2006 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9216
INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS
|
⇄
|
64116-0011-12
ACTIMMUNE (VIAL) 2 Million IU/0.5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2002 |
| Relationship End Date |
11/12/2013 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9216
INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS
|
⇄
|
75987-0111-01
ACTIMMUNE 2 MILLION IU/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9216
INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS
|
⇄
|
75987-0111-10
ACTIMMUNE 2 Million IU/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
|
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
J9216
INJECTION, INTERFERON, GAMMA 1-B, 3 MILLION UNITS
|
⇄
|
75987-0111-11
ACTIMMUNE 2 MILLION IU/0.5 ML
|
| Detail Information |
| Relationship Start Date |
01/15/2018 |
| Relationship End Date |
99/99/9999 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|