| Source HCPCS Code |
|
Target NDC Code |
Q4222
Progenamatrix, per sq cm
|
⇄
|
50017-015902
PROGENAMATRIX
|
| 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 |
|
|
|
|
Q4222
Progenamatrix, per sq cm
|
⇄
|
50017-015904
PROGENAMATRIX
|
| 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 |
|
|
|
|
Q4222
Progenamatrix, per sq cm
|
⇄
|
50017-015906
PROGENAMATRIX
|
| 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 |
|
|
|
|
Q4222
Progenamatrix, per sq cm
|
⇄
|
PM3003
ProgenaMatrix 3 cm X 3 cm
|
| 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 |
|
|
|
|
Q4222
Progenamatrix, per sq cm
|
⇄
|
PM3010
ProgenaMatrix 3 cm X 3 cm
|
| 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 |
|
|
|
|