| Source HCPCS Code |
|
Target NDC Code |
Q4074
|
⇄
|
10148-0101-00
|
| 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 |
|
|
|
|
Q4074
ILOPROST, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 20 MICROGRAMS
|
⇄
|
10148-0101-01
VENTAVIS (UNIT-DOSE VIAL,PF) 10 MCG/ML
|
| Detail Information |
| Relationship Start Date |
1/1/2010 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IH |
| Billing Units |
ML |
|
|
|
Q4074
|
⇄
|
10148-0101-30
|
| 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 |
|
|
|
|
Q4074
|
⇄
|
10148-0102-00
|
| 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 |
|
|
|
|
Q4074
|
⇄
|
10148-0102-30
|
| 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 |
|
|
|
|
Q4074
Iloprost, inhalation solution, fda-approved final product, non-compounded, ...
|
⇄
|
66215-0302-00
VENTAVIS 10 MCG/1 ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
01/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
Q4074
Iloprost, inhalation solution, fda-approved final product, non-compounded, ...
|
⇄
|
66215-0302-30
VENTAVIS 10 MCG/1 ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
01/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
Q4074
Iloprost, inhalation solution, fda-approved final product, non-compounded, ...
|
⇄
|
66215-0303-00
VENTAVIS 20 MCG/1 ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
01/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
Q4074
Iloprost, inhalation solution, fda-approved final product, non-compounded, ...
|
⇄
|
66215-0303-30
VENTAVIS 20 MCG/1 ML SOLUTION
|
| Detail Information |
| Relationship Start Date |
01/01/2010 |
| Relationship End Date |
12/31/3999 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
AMPUL |
| Route Of Administration |
IH |
| Billing Units |
EA |
|
|
|
Q4074
Iloprost non-comp unit dose
|
⇄
|
66215-0302-30
Ventavis
|
| 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 |
|
|
|
|
Q4074
Iloprost non-comp unit dose
|
⇄
|
66215-0303-30
Ventavis
|
| 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 |
|
|
|
|