| Source HCPCS Code |
|
Target NDC Code |
Q4077
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0101-01
REMODULIN (M.D.V.) 1 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q4077
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0102-01
REMODULIN (M.D.V.) 2.5 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q4077
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0105-01
REMODULIN (M.D.V.) 5 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q4077
INJECTION, TREPROSTINIL, 1 MG
|
⇄
|
66302-0110-01
REMODULIN (M.D.V.) 10 MG/ML
|
| Detail Information |
| Relationship Start Date |
10/1/2003 |
| Relationship End Date |
12/31/2005 |
| Number Of Items In Ndc Package |
20 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
VL |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|