| Source HCPCS Code |
|
Target NDC Code |
Q4089
INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC®) INTRAMUSCULAR OR INTRAVENOUS, 100 IU
|
⇄
|
44206-0300-01
RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML
|
| Detail Information |
| Relationship Start Date |
7/1/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|
Q4089
INJECTION, RHO(D) IMMUNE GLOBULIN (HUMAN), (RHOPHYLAC®) INTRAMUSCULAR OR INTRAVENOUS, 100 IU
|
⇄
|
44206-0300-10
RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML
|
| Detail Information |
| Relationship Start Date |
7/1/2007 |
| Relationship End Date |
12/31/2007 |
| Number Of Items In Ndc Package |
2 |
| Ndc Package Measure |
ML |
| Ndc Package Type |
SR |
| Route Of Administration |
IJ |
| Billing Units |
ML |
|
|
|