| Source HCPCS Code |
|
Target NDC Code |
Q3026
INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE
|
⇄
|
44087-0022-03
REBIF (SRN,PREFILLED,27G,PF) 22 MCG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
12/31/2013 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
Q3026
INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE
|
⇄
|
44087-0044-03
REBIF (SRN,PREFILLED,27G,PF) 44 MCG/0.5 ML
|
| Detail Information |
| Relationship Start Date |
1/1/2003 |
| Relationship End Date |
12/31/2013 |
| Number Of Items In Ndc Package |
0.5 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|
Q3026
INJECTION, INTERFERON BETA-1A, 11 MCG FOR SUBCUTANEOUS USE
|
⇄
|
44087-8822-01
REBIF (TITRATION PACK,PF) 44 MCG/ML
|
| Detail Information |
| Relationship Start Date |
2/14/2005 |
| Relationship End Date |
12/31/2013 |
| Number Of Items In Ndc Package |
4.2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
BX |
| Route Of Administration |
SC |
| Billing Units |
ML |
|
|
|