| Source HCPCS Code |
|
Target NDC Code |
Q3025
INJECTION, INTERFERON BETA-1A, 11 MCG FOR INTRAMUSCULAR USE
|
⇄
|
54569-4433-00
AVONEX (S.D.V.) 33 MCG
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
3/24/2003 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
VL |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
Q3025
INJECTION, INTERFERON BETA-1A, 11 MCG FOR INTRAMUSCULAR USE
|
⇄
|
59627-0001-03
AVONEX (S.D.V.) 33 MCG
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
BX |
| Route Of Administration |
IM |
| Billing Units |
EA |
|
|
|
Q3025
|
⇄
|
59627-0002-05
|
| 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 |
|
|
|
|
Q3025
|
⇄
|
59627-0003-04
|
| 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 |
|
|
|
|